Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $41.41 / $86.36	Professional		$32.72	$41.41	$86.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $29.25 / $72.89	Professional	26	$22.74	$29.25	$72.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.47 / $14.25 / $26.68	Professional	TC	$11.47	$14.25	$26.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.97 / $18.17 / $54.46	Professional	26	$16.97	$18.17	$54.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.38 / $51.71 / $79.22	Professional		$37.38	$51.71	$79.22
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $52.34 / $73.51 / $122.51	Professional		$52.34	$73.51	$122.51
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $33.79 / $34.28 / $35.49	Professional	26	$33.79	$34.28	$35.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.96 / $34.53 / $103.69	Professional		$25.96	$34.53	$103.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.30 / $22.48 / $67.52	Professional	26	$17.30	$22.48	$67.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.51 / $12.98 / $35.22	Professional	TC	$8.51	$12.98	$35.22
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $88.48 / $182.16 / $182.16	Facility	26	$88.48	$182.16	$182.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $353.10 / $353.10 / $455.70	Professional		$353.10	$353.10	$455.70
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $231.59 / $231.59 / $291.60	Professional	26	$231.59	$231.59	$291.60
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $121.51 / $121.51 / $164.10	Professional	TC	$121.51	$121.51	$164.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $75.63 / $100.48	Professional		$38.10	$75.63	$100.48
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $44.08 / $52.89 / $82.24	Professional	26	$44.08	$52.89	$82.24
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.45 / $28.14 / $42.64	Professional	TC	$23.45	$28.14	$42.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $40.86 / $96.90	Professional		$18.80	$40.86	$96.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $53.70 / $139.69	Professional		$26.10	$53.70	$139.69
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $17.51 / $22.48 / $67.52	Professional	26	$17.51	$22.48	$67.52
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $8.53 / $13.62 / $35.22	Professional	TC	$8.53	$13.62	$35.22
United Facility/Professional Professional Modifier Low / Median / High Price $34.13 / $37.60 / $115.48	Professional		$34.13	$37.60	$115.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.06 / $24.28 / $78.73	Professional	26	$22.06	$24.28	$78.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.68 / $13.32 / $36.08	Professional	TC	$10.68	$13.32	$36.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $28.71 / $54.19	Professional		$22.52	$28.71	$54.19
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $15.48 / $18.73 / $35.46	Professional	26	$15.48	$18.73	$35.46
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $7.04 / $9.98 / $18.72	Professional	TC	$7.04	$9.98	$18.72