Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $90.76 / $193.97	Professional		$77.20	$90.76	$193.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $38.40 / $81.00	Professional	26	$33.11	$38.40	$81.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.19 / $73.06 / $173.63	Professional		$64.19	$73.06	$173.63
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $47.82 / $48.08 / $49.02	Professional	26	$47.82	$48.08	$49.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.85 / $88.69 / $253.47	Professional		$61.85	$88.69	$253.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.30 / $37.57 / $115.51	Professional	26	$25.30	$37.57	$115.51
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $168.30 / $317.04 / $317.04	Facility	26	$168.30	$317.04	$317.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.49 / $1,000.49 / $1,047.23	Professional		$1,000.49	$1,000.49	$1,047.23
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $410.10 / $415.79 / $415.79	Professional	26	$410.10	$415.79	$415.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.41 / $183.41 / $284.02	Professional		$143.41	$183.41	$284.02
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $62.26 / $74.72 / $119.55	Professional	26	$62.26	$74.72	$119.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $88.38 / $214.43	Professional		$47.50	$88.38	$214.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.51 / $125.82 / $317.72	Professional		$62.51	$125.82	$317.72
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $25.32 / $37.47 / $115.51	Professional	26	$25.32	$37.47	$115.51
United Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $103.40 / $275.72	Professional		$82.72	$103.40	$275.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.65 / $44.72 / $127.03	Professional	26	$34.65	$44.72	$127.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $72.98 / $122.35	Professional		$53.77	$72.98	$122.35
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $29.82 / $50.13	Professional	26	$22.52	$29.82	$50.13