Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.95 / $125.00 / $250.00	Facility	26	$113.95	$125.00	$250.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $137.32 / $282.77	Professional	26	$100.00	$137.32	$282.77
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $83.53 / $85.59 / $92.83	Professional	26	$83.53	$85.59	$92.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.56 / $109.82 / $177.87	Professional	26	$73.56	$109.82	$177.87
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $814.88 / $814.88 / $960.00	Facility	26	$814.88	$814.88	$960.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,192.32 / $1,192.32 / $1,201.05	Professional	26	$1,192.32	$1,192.32	$1,201.05
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $122.41 / $153.01 / $342.88	Professional	26	$122.41	$153.01	$342.88
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $77.79 / $114.03 / $178.86	Professional	26	$77.79	$114.03	$178.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.45 / $80.30 / $147.51	Professional	26	$66.45	$80.30	$147.51
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $73.16 / $84.41 / $116.41	Professional	26	$73.16	$84.41	$116.41