Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $36.06 / $105.38	Professional		$25.78	$36.06	$105.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $11.59 / $52.70	Professional	26	$6.92	$11.59	$52.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.80 / $25.50 / $58.07	Professional	TC	$18.80	$25.50	$58.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $22.72 / $51.36	Professional		$13.79	$22.72	$51.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.09 / $10.48 / $14.74	Professional	26	$5.09	$10.48	$14.74
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.52 / $16.70 / $31.37	Professional	TC	$14.52	$16.70	$31.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.93 / $52.93 / $52.93	Facility		$52.93	$52.93	$52.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $23.67 / $60.25	Professional		$10.51	$23.67	$60.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $56.21 / $78.00	Professional		$39.51	$56.21	$78.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $39.40 / $41.36	Facility		$38.00	$39.40	$41.36
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $27.76 / $29.04 / $30.79	Facility	TC	$27.76	$29.04	$30.79
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $10.22 / $10.24 / $10.57	Professional	26	$10.22	$10.24	$10.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $30.78 / $87.47	Professional		$19.94	$30.78	$87.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.27 / $6.85 / $32.04	Professional	26	$5.27	$6.85	$32.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.14 / $24.35 / $63.62	Professional	TC	$14.14	$24.35	$63.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $123.89 / $228.14 / $228.14	Facility		$123.89	$228.14	$228.14
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Low / Median / High Price $100.17 / $173.52 / $173.52	Facility	TC	$100.17	$173.52	$173.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $359.03 / $360.92 / $370.81	Professional		$359.03	$360.92	$370.81
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $191.54 / $191.54 / $191.54	Professional	26	$191.54	$191.54	$191.54
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $268.14 / $271.66 / $275.49	Professional	TC	$268.14	$271.66	$275.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.09 / $62.85 / $100.00	Facility		$36.09	$62.85	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $54.89 / $97.61	Professional		$14.66	$54.89	$97.61
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.34 / $16.01 / $25.12	Professional	26	$13.34	$16.01	$25.12
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $38.40 / $46.10 / $67.76	Professional	TC	$38.40	$46.10	$67.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $35.70 / $74.06	Professional		$11.07	$35.70	$74.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.59 / $63.22 / $102.25	Facility		$35.59	$63.22	$102.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $42.82 / $115.46	Professional		$19.94	$42.82	$115.46
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $5.27 / $6.85 / $32.04	Professional	26	$5.27	$6.85	$32.04
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $14.14 / $22.32 / $68.79	Professional	TC	$14.14	$22.32	$68.79
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.61 / $92.09	Professional		$25.12	$36.61	$92.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $7.35 / $23.82	Professional	26	$6.64	$7.35	$23.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.97 / $29.95 / $65.89	Professional	TC	$17.97	$29.95	$65.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $24.78 / $41.35	Professional		$16.32	$24.78	$41.35
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $4.63 / $5.71 / $10.71	Professional	26	$4.63	$5.71	$10.71
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $11.68 / $20.42 / $30.64	Professional	TC	$11.68	$20.42	$30.64