Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $94.35 / $206.32	Professional		$75.84	$94.35	$206.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.30 / $18.53 / $39.90	Professional	26	$15.30	$18.53	$39.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.60 / $34.60 / $34.60	Professional	26	$34.60	$34.60	$34.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $54.31 / $191.66	Professional		$32.51	$54.31	$191.66
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $24.20 / $24.54 / $25.63	Professional	26	$24.20	$24.54	$25.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.12 / $73.34 / $228.58	Professional		$48.12	$73.34	$228.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.79 / $16.23 / $48.69	Professional	26	$12.79	$16.23	$48.69
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $129.96 / $129.96	Facility	26	$100.00	$129.96	$129.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $888.56 / $888.56 / $1,139.03	Professional		$888.56	$888.56	$1,139.03
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $239.41 / $239.41 / $239.41	Professional	26	$239.41	$239.41	$239.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.05 / $197.00 / $312.95	Professional		$154.05	$197.00	$312.95
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $31.54 / $37.85 / $59.40	Professional	26	$31.54	$37.85	$59.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $116.00 / $237.27	Professional		$25.98	$116.00	$237.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.12 / $103.53 / $336.94	Professional		$49.12	$103.53	$336.94
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.78 / $16.23 / $48.69	Professional	26	$12.78	$16.23	$48.69
United Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $87.09 / $227.36	Professional		$58.82	$87.09	$227.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.90 / $16.97 / $56.30	Professional	26	$15.90	$16.97	$56.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.21 / $70.62 / $131.19	Professional		$39.21	$70.62	$131.19
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $10.98 / $13.52 / $25.37	Professional	26	$10.98	$13.52	$25.37