Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $39.38 / $84.43	Professional		$31.76	$39.38	$84.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.52 / $24.96 / $178.60	Professional	26	$18.52	$24.96	$178.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $15.03 / $32.28	Professional	TC	$11.48	$15.03	$32.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.64 / $25.68 / $69.83	Professional		$24.64	$25.68	$69.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.19 / $29.02 / $44.47	Professional	26	$14.19	$29.02	$44.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.27 / $26.27 / $26.27	Facility		$26.27	$26.27	$26.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $42.22 / $77.33	Professional		$25.63	$42.22	$77.33
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $72.09 / $90.64	Professional		$51.17	$72.09	$90.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.87 / $50.91 / $53.68	Facility		$29.87	$50.91	$53.68
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $27.58 / $27.98 / $29.22	Professional	26	$27.58	$27.98	$29.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $28.79 / $96.62	Professional		$20.20	$28.79	$96.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.16 / $19.27 / $56.72	Professional	26	$14.16	$19.27	$56.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.61 / $12.25 / $40.56	Professional	TC	$5.61	$12.25	$40.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.18 / $285.52 / $285.52	Facility		$134.18	$285.52	$285.52
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $148.72 / $148.72	Facility	26	$100.00	$148.72	$148.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $342.09 / $342.09 / $451.80	Professional		$342.09	$342.09	$451.80
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $250.96 / $250.96 / $250.96	Professional	26	$250.96	$250.96	$250.96
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $250.96 / $250.96 / $250.96	Professional	TC	$250.96	$250.96	$250.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $56.93 / $97.70	Facility		$40.47	$56.93	$97.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $74.27 / $178.75	Professional		$48.26	$74.27	$178.75
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $35.99 / $43.19 / $67.01	Professional	26	$35.99	$43.19	$67.01
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.33 / $36.39 / $54.05	Professional	TC	$30.33	$36.39	$54.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $40.83 / $96.55	Professional		$22.19	$40.83	$96.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $56.93 / $106.54	Facility		$40.47	$56.93	$106.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $44.72 / $135.44	Professional		$20.30	$44.72	$135.44
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $14.16 / $18.30 / $56.72	Professional	26	$14.16	$18.30	$56.72
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $5.58 / $12.47 / $38.61	Professional	TC	$5.58	$12.47	$38.61
United Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $37.52 / $111.16	Professional		$24.51	$37.52	$111.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.92 / $19.66 / $68.42	Professional	26	$17.92	$19.66	$68.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.94 / $14.11 / $46.20	Professional	TC	$6.94	$14.11	$46.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $28.15 / $53.13	Professional		$21.68	$28.15	$53.13
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $12.67 / $15.26 / $28.95	Professional	26	$12.67	$15.26	$28.95
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $8.64 / $12.89 / $24.18	Professional	TC	$8.64	$12.89	$24.18