Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $22.73 / $45.00	Professional		$17.25	$22.73	$45.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.23 / $17.05 / $40.25	Professional	26	$13.23	$17.05	$40.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $4.30 / $5.53 / $13.12	Professional	TC	$4.30	$5.53	$13.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $13.55 / $13.97	Professional		$13.55	$13.55	$13.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.83 / $20.00 / $27.97	Professional	26	$9.83	$20.00	$27.97
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $7.24 / $7.24 / $7.24	Professional	TC	$7.24	$7.24	$7.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $29.89 / $41.27	Professional		$16.22	$29.89	$41.27
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $29.86 / $48.48	Professional		$22.36	$29.86	$48.48
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $19.53 / $19.80 / $20.67	Professional	26	$19.53	$19.80	$20.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $16.55 / $52.48	Professional		$13.84	$16.55	$52.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.36 / $13.10 / $39.36	Professional	26	$10.36	$13.10	$39.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.37 / $4.44 / $13.64	Professional	TC	$3.37	$4.44	$13.64
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $80.00 / $104.98 / $104.98	Facility	26	$80.00	$104.98	$104.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $180.45 / $180.45 / $242.63	Professional		$180.45	$180.45	$242.63
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $134.87 / $134.87 / $169.13	Professional	26	$134.87	$134.87	$169.13
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $45.58 / $45.58 / $73.58	Professional	TC	$45.58	$45.58	$73.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.99 / $43.19 / $63.95	Professional		$35.99	$43.19	$63.95
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.48 / $30.57 / $47.96	Professional	26	$25.48	$30.57	$47.96
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $10.51 / $12.62 / $15.99	Professional	TC	$10.51	$12.62	$15.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $27.95 / $54.45	Professional		$9.48	$27.95	$54.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $24.86 / $71.55	Professional		$13.97	$24.86	$71.55
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.36 / $13.10 / $39.27	Professional	26	$10.36	$13.10	$39.27
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $3.23 / $4.44 / $13.32	Professional	TC	$3.23	$4.44	$13.32
United Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.79 / $60.64	Professional		$18.16	$18.79	$60.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.85 / $14.33 / $46.20	Professional	26	$13.85	$14.33	$46.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.32 / $4.75 / $14.44	Professional	TC	$4.32	$4.75	$14.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $15.22 / $28.88	Professional		$11.82	$15.22	$28.88
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $9.01 / $10.92 / $20.48	Professional	26	$9.01	$10.92	$20.48
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $2.82 / $4.30 / $8.39	Professional	TC	$2.82	$4.30	$8.39