Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.13 / $102.96 / $244.83	Professional		$85.13	$102.96	$244.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.80 / $28.32 / $61.23	Professional	26	$21.80	$28.32	$61.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Professional		$70.70	$70.70	$70.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $75.12 / $226.76	Professional		$47.10	$75.12	$226.76
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $34.19 / $34.64 / $35.51	Professional	26	$34.19	$34.64	$35.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.79 / $83.30 / $259.50	Professional		$50.79	$83.30	$259.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.12 / $23.11 / $74.28	Professional	26	$17.12	$23.11	$74.28
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $183.07 / $183.07	Facility	26	$100.00	$183.07	$183.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,357.00 / $1,357.00 / $1,357.00	Professional		$1,357.00	$1,357.00	$1,357.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $271.00 / $271.00 / $293.48	Professional	26	$271.00	$271.00	$293.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $182.51 / $233.39 / $328.17	Professional		$182.51	$233.39	$328.17
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $44.48 / $53.37 / $84.52	Professional	26	$44.48	$53.37	$84.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $132.75 / $271.31	Professional		$35.88	$132.75	$271.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.11 / $111.75 / $367.13	Professional		$52.11	$111.75	$367.13
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $17.12 / $23.11 / $74.28	Professional	26	$17.12	$23.11	$74.28
United Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $86.59 / $280.77	Professional		$62.31	$86.59	$280.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.46 / $24.47 / $80.84	Professional	26	$21.46	$24.47	$80.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.57 / $86.29 / $155.44	Professional		$53.57	$86.29	$155.44
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $15.76 / $19.26 / $35.79	Professional	26	$15.76	$19.26	$35.79