Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.08 / $48.86 / $74.56	Professional		$42.08	$48.86	$74.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.42 / $18.12 / $30.84	Professional	26	$14.42	$18.12	$30.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.47 / $31.97 / $48.46	Professional	TC	$26.47	$31.97	$48.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $32.32 / $49.08	Professional		$13.11	$32.32	$49.08
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $22.86 / $23.08 / $23.89	Professional	26	$22.86	$23.08	$23.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $38.33 / $122.08	Professional		$28.83	$38.33	$122.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.10 / $14.22 / $45.10	Professional	26	$10.10	$14.22	$45.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.29 / $26.10 / $76.11	Professional	TC	$18.29	$26.10	$76.11
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $58.62 / $120.37 / $120.37	Facility	26	$58.62	$120.37	$120.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $438.19 / $438.19 / $544.20	Professional		$438.19	$438.19	$544.20
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $158.25 / $158.25 / $192.30	Professional	26	$158.25	$158.25	$192.30
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $279.94 / $279.94 / $351.98	Professional	TC	$279.94	$279.94	$351.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.65 / $95.58 / $154.57	Professional		$79.65	$95.58	$154.57
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $35.42 / $56.34	Professional	26	$29.51	$35.42	$56.34
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $50.14 / $60.17 / $98.23	Professional	TC	$50.14	$60.17	$98.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $47.45 / $114.69	Professional		$24.50	$47.45	$114.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $61.07 / $166.42	Professional		$28.83	$61.07	$166.42
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.09 / $14.21 / $45.10	Professional	26	$10.09	$14.21	$45.10
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.62 / $24.11 / $76.11	Professional	TC	$17.62	$24.11	$76.11
United Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $45.62 / $150.13	Professional		$38.43	$45.62	$150.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.89 / $17.28 / $55.58	Professional	26	$12.89	$17.28	$55.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.01 / $32.22 / $94.56	Professional	TC	$25.01	$32.22	$94.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $35.04 / $63.81	Professional		$29.28	$35.04	$63.81
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $10.84 / $12.69 / $23.81	Professional	26	$10.84	$12.69	$23.81
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $18.44 / $22.36 / $40.00	Professional	TC	$18.44	$22.36	$40.00