Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.76 / $125.00 / $250.00	Facility	26	$87.76	$125.00	$250.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $125.00 / $291.50	Professional	26	$90.00	$125.00	$291.50
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $64.33 / $66.09 / $71.78	Professional	26	$64.33	$66.09	$71.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.59 / $82.25 / $136.52	Professional	26	$56.59	$82.25	$136.52
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $497.44 / $628.16 / $642.55	Facility	26	$497.44	$628.16	$642.55
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $2,062.23 / $3,244.00 / $3,244.00	Professional	26	$2,062.23	$3,244.00	$3,244.00
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $94.23 / $117.79 / $263.95	Professional	26	$94.23	$117.79	$263.95
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $57.79 / $86.14 / $145.00	Professional	26	$57.79	$86.14	$145.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.28 / $61.12 / $110.16	Professional	26	$51.28	$61.12	$110.16
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $56.32 / $65.01 / $89.68	Professional	26	$56.32	$65.01	$89.68