Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.77 / $146.13 / $170.50	Facility	26	$111.77	$146.13	$170.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $113.31 / $155.00 / $378.95	Professional	26	$113.31	$155.00	$378.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.44 / $150.90 / $209.26	Professional	26	$85.44	$150.90	$209.26
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $103.14 / $103.14 / $111.78	Professional	26	$103.14	$103.14	$111.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.80 / $139.26 / $226.80	Professional	26	$92.80	$139.26	$226.80
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $822.88 / $1,034.88 / $1,053.11	Facility	26	$822.88	$1,034.88	$1,053.11
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,192.32 / $1,192.32 / $1,192.32	Professional	26	$1,192.32	$1,192.32	$1,192.32
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $155.66 / $194.58 / $436.04	Professional	26	$155.66	$194.58	$436.04
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $98.26 / $145.31 / $228.22	Professional	26	$98.26	$145.31	$228.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.14 / $103.38 / $189.00	Professional	26	$85.14	$103.38	$189.00
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $93.04 / $107.31 / $147.93	Professional	26	$93.04	$107.31	$147.93