Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $186.21	Professional		$77.62	$100.00	$186.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $41.69 / $77.62	Professional	26	$33.11	$41.69	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $69.18 / $169.82	Professional		$67.61	$69.18	$169.82
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $47.86 / $48.98	Professional	26	$47.86	$47.86	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $257.04	Professional		$61.66	$91.20	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $38.90 / $114.82	Professional	26	$25.12	$38.90	$114.82
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	26	$338.84	$338.84	$338.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,047.13	Professional		$1,000.00	$1,047.13	$1,047.13
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $407.38 / $407.38 / $416.87	Professional	26	$407.38	$407.38	$416.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $147.91 / $218.78	Professional		$77.62	$147.91	$218.78
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $60.26 / $89.13	Professional	26	$33.11	$60.26	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $112.20 / $239.88	Professional		$51.29	$112.20	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $281.84	Professional		$61.66	$89.13	$281.84
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $37.15 / $114.82	Professional	26	$25.12	$37.15	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $275.42	Professional		$83.18	$109.65	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $44.67 / $120.23	Professional	26	$34.67	$44.67	$120.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $117.49	Professional		$53.70	$53.70	$117.49
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $22.39 / $48.98	Professional	26	$22.39	$22.39	$48.98