Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.99 / $125.00 / $250.00	Facility	26	$36.99	$125.00	$250.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.28 / $125.00 / $250.00	Professional	26	$39.28	$125.00	$250.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.18 / $22.71 / $33.43	Professional	26	$19.18	$22.71	$33.43
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $27.12 / $28.39 / $31.10	Professional	26	$27.12	$28.39	$31.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.70 / $35.65 / $58.42	Professional	26	$23.70	$35.65	$58.42
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $68.92 / $141.50 / $141.50	Facility	26	$68.92	$141.50	$141.50
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $183.60 / $183.60 / $230.18	Professional	26	$183.60	$183.60	$230.18
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $39.72 / $49.66 / $111.28	Professional	26	$39.72	$49.66	$111.28
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $24.76 / $36.90 / $58.42	Professional	26	$24.76	$36.90	$58.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.06 / $28.35 / $49.36	Professional	26	$22.06	$28.35	$49.36
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $23.74 / $27.40 / $37.81	Professional	26	$23.74	$27.40	$37.81