Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $16.44 / $33.08	Professional		$12.57	$16.44	$33.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $12.59 / $33.15	Professional	26	$7.53	$12.59	$33.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.04 / $6.10 / $12.94	Professional	TC	$5.04	$6.10	$12.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $10.07 / $20.12	Professional		$9.13	$10.07	$20.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.64 / $11.43 / $16.07	Professional	26	$5.64	$11.43	$16.07
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $3.82 / $4.12 / $7.57	Professional	TC	$3.82	$4.12	$7.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $6.71 / $6.71	Facility		$6.71	$6.71	$6.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $17.07 / $28.94	Professional		$9.66	$17.07	$28.94
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $24.94 / $32.94	Professional		$17.16	$24.94	$32.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $18.96 / $20.04	Facility		$12.14	$18.96	$20.04
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $7.32 / $7.64 / $8.24	Facility	TC	$7.32	$7.64	$8.24
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $11.17 / $11.21 / $11.58	Professional	26	$11.17	$11.21	$11.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $12.64 / $38.26	Professional		$9.10	$12.64	$38.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.79 / $7.27 / $26.04	Professional	26	$5.79	$7.27	$26.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.09 / $4.58 / $14.84	Professional	TC	$3.09	$4.58	$14.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.86 / $104.74 / $104.74	Facility		$50.86	$104.74	$104.74
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 $100.00 / $100.00 / $100.00	Facility	TC	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $130.47 / $169.05	Professional		$130.47	$130.47	$169.05
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $95.76 / $95.76 / $97.13	Professional	26	$95.76	$95.76	$97.13
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $95.76 / $95.76 / $95.76	Professional	TC	$95.76	$95.76	$95.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $23.66 / $37.86	Facility		$17.03	$23.66	$37.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $25.65 / $49.14	Professional		$13.85	$25.65	$49.14
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.55 / $17.46 / $32.36	Professional	26	$14.55	$17.46	$32.36
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $12.94 / $19.03	Professional	TC	$10.11	$12.94	$19.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $14.65 / $35.51	Professional		$7.66	$14.65	$35.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.44 / $23.84 / $41.16	Facility		$16.44	$23.84	$41.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $17.30 / $54.60	Professional		$9.15	$17.30	$54.60
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $5.79 / $7.27 / $26.20	Professional	26	$5.79	$7.27	$26.20
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $3.09 / $4.58 / $14.84	Professional	TC	$3.09	$4.58	$14.84
United Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $13.61 / $44.02	Professional		$11.44	$13.61	$44.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.15 / $7.95 / $25.98	Professional	26	$7.15	$7.95	$25.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.29 / $5.60 / $18.04	Professional	TC	$4.29	$5.60	$18.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $10.52 / $19.73	Professional		$8.58	$10.52	$19.73
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $5.07 / $6.06 / $11.69	Professional	26	$5.07	$6.06	$11.69
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $3.52 / $4.46 / $8.03	Professional	TC	$3.52	$4.46	$8.03