Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.89 / $54.44 / $82.59	Facility	26	$41.89	$54.44	$82.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.16 / $294.23 / $601.61	Professional		$229.16	$294.23	$601.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.89 / $54.95 / $183.91	Professional	26	$41.89	$54.95	$183.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $259.44 / $259.44 / $259.44	Professional		$259.44	$259.44	$259.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $104.69 / $104.69 / $119.30	Professional	26	$104.69	$104.69	$119.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $264.02 / $382.89	Professional		$71.00	$264.02	$382.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $270.00 / $270.00	Professional		$270.00	$270.00	$270.00
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $60.54 / $62.44 / $68.19	Professional	26	$60.54	$62.44	$68.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.37 / $372.45 / $688.84	Professional		$260.37	$372.45	$688.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.93 / $80.56 / $130.74	Professional	26	$53.93	$80.56	$130.74
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $153.81 / $315.45 / $315.45	Facility	26	$153.81	$315.45	$315.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,260.82 / $2,260.82 / $2,789.10	Professional		$2,260.82	$2,260.82	$2,789.10
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $603.00 / $603.00 / $603.00	Professional	26	$603.00	$603.00	$603.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $306.31 / $530.51 / $797.21	Professional		$306.31	$530.51	$797.21
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $88.69 / $110.87 / $248.44	Professional	26	$88.69	$110.87	$248.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $354.54 / $667.58	Professional		$78.12	$354.54	$667.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $279.55 / $403.97 / $697.71	Professional		$279.55	$403.97	$697.71
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $55.29 / $85.54 / $133.82	Professional	26	$55.29	$85.54	$133.82
United Facility/Professional Professional Modifier Low / Median / High Price $271.85 / $376.12 / $568.41	Professional		$271.85	$376.12	$568.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.44 / $68.26 / $104.73	Professional	26	$52.44	$68.26	$104.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $274.41 / $306.31 / $436.78	Professional		$274.41	$306.31	$436.78
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $53.01 / $61.18 / $84.39	Professional	26	$53.01	$61.18	$84.39