Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $89.13	Professional		$41.69	$53.70	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.95 / $33.88	Professional	26	$15.14	$19.95	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.88 / $53.70	Professional	TC	$25.70	$33.88	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $33.88 / $44.67	Professional		$12.88	$33.88	$44.67
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $23.44 / $23.44	Professional	26	$22.91	$23.44	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $120.23	Professional		$28.84	$41.69	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.14 / $45.71	Professional	26	$10.00	$15.14	$45.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.92 / $75.86	Professional	TC	$18.20	$26.92	$75.86
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	26	$158.49	$158.49	$158.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $549.54	Professional		$436.52	$549.54	$549.54
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $190.55 / $190.55	Professional	26	$158.49	$190.55	$190.55
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $354.81 / $354.81	Professional	TC	$281.84	$354.81	$354.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $117.49	Professional		$41.69	$79.43	$117.49
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $29.51 / $43.65	Professional	26	$15.14	$29.51	$43.65
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $50.12 / $75.86	Professional	TC	$25.70	$50.12	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.11 / $54.95	Professional		$22.39	$33.11	$54.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $60.26 / $131.83	Professional		$25.12	$60.26	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $128.82	Professional		$27.54	$41.69	$128.82
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.13 / $45.71	Professional	26	$10.00	$14.13	$45.71
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $23.99 / $75.86	Professional	TC	$17.78	$23.99	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $151.36	Professional		$38.02	$47.86	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $17.38 / $54.95	Professional	26	$12.88	$17.38	$54.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $32.36 / $95.50	Professional	TC	$25.12	$32.36	$95.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $63.10	Professional		$29.51	$29.51	$63.10
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $10.96 / $23.99	Professional	26	$10.96	$10.96	$23.99
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $18.62 / $39.81	Professional	TC	$18.62	$18.62	$39.81