Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.18 / $125.00 / $250.00	Facility	26	$116.18	$125.00	$250.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $139.71 / $292.94	Professional	26	$100.00	$139.71	$292.94
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $85.16 / $87.62 / $93.50	Professional	26	$85.16	$87.62	$93.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.28 / $112.57 / $180.75	Professional	26	$75.28	$112.57	$180.75
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $830.48 / $830.48 / $960.00	Facility	26	$830.48	$830.48	$960.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,192.32 / $1,463.88 / $1,503.99	Professional	26	$1,192.32	$1,463.88	$1,503.99
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $124.72 / $155.90 / $349.36	Professional	26	$124.72	$155.90	$349.36
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $79.47 / $116.17 / $186.92	Professional	26	$79.47	$116.17	$186.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.70 / $85.76 / $149.84	Professional	26	$66.70	$85.76	$149.84
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $74.54 / $86.06 / $118.62	Professional	26	$74.54	$86.06	$118.62