Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $46.77 / $61.66	Facility	26	$40.74	$46.77	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $524.81	Professional		$257.04	$323.59	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $63.10 / $154.88	Professional	26	$48.98	$63.10	$154.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $107.15 / $120.23	Professional	26	$48.98	$107.15	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $295.12 / $371.54	Professional		$75.86	$295.12	$371.54
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $60.26 / $67.61	Professional	26	$60.26	$60.26	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $691.83	Professional		$269.15	$363.08	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $81.28 / $141.25	Professional	26	$53.70	$81.28	$141.25
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $416.87 / $416.87 / $416.87	Facility	26	$416.87	$416.87	$416.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $2,818.38	Professional		$2,238.72	$2,818.38	$2,818.38
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $602.56 / $602.56 / $602.56	Professional	26	$602.56	$602.56	$602.56
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $46.77 / $53.70	Facility	26	$40.74	$46.77	$53.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $467.74 / $977.24	Professional		$269.15	$467.74	$977.24
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $89.13 / $199.53	Professional	26	$50.12	$89.13	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $263.03	Professional		$32.36	$33.11	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $691.83	Professional		$281.84	$363.08	$691.83
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $77.62 / $128.82	Professional	26	$53.70	$77.62	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $562.34	Professional		$269.15	$380.19	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $67.61 / $104.71	Professional	26	$56.23	$67.61	$104.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $323.59	Professional		$309.03	$309.03	$323.59
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $61.66 / $64.57	Professional	26	$61.66	$61.66	$64.57