Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $213.80	Professional		$75.86	$107.15	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $23.99 / $512.86	Professional	26	$15.85	$23.99	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $181.97	Professional		$33.88	$44.67	$181.97
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $25.12 / $25.12	Professional	26	$24.55	$25.12	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $75.86 / $229.09	Professional		$47.86	$75.86	$229.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $17.78 / $48.98	Professional	26	$12.88	$17.78	$48.98
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	26	$165.96	$165.96	$165.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,148.15	Professional		$891.25	$1,148.15	$1,148.15
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $239.88 / $239.88 / $239.88	Professional	26	$239.88	$239.88	$239.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $154.88 / $251.19	Professional		$83.18	$154.88	$251.19
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $31.62 / $67.61	Professional	26	$15.85	$31.62	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $114.82	Professional		$21.88	$33.11	$114.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $123.03 / $269.15	Professional		$26.92	$123.03	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $239.88	Professional		$48.98	$74.13	$239.88
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.49 / $48.98	Professional	26	$12.59	$15.49	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $229.09	Professional		$58.88	$87.10	$229.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $17.38 / $56.23	Professional	26	$15.85	$17.38	$56.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $131.83	Professional		$44.67	$44.67	$131.83
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $10.96 / $25.70	Professional	26	$10.96	$10.96	$25.70