Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.01 / $9.58 / $11.82	Facility	26	$8.01	$9.58	$11.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $33.90 / $120.80	Professional		$27.64	$33.90	$120.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.67 / $11.30 / $18.93	Professional	26	$8.67	$11.30	$18.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.35 / $21.14 / $33.36	Professional	TC	$16.35	$21.14	$33.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $29.87 / $50.14	Professional		$28.18	$29.87	$50.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.54 / $22.54 / $22.54	Professional	26	$22.54	$22.54	$22.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $22.82 / $48.00	Professional		$9.72	$22.82	$48.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $40.31 / $56.00	Professional		$29.58	$40.31	$56.00
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $10.81 / $19.02 / $19.02	Professional	26	$10.81	$19.02	$19.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.90 / $11.90 / $11.90	Facility	26	$11.90	$11.90	$11.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $42.21 / $69.55	Professional		$28.75	$42.21	$69.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.34 / $16.52 / $27.18	Professional	26	$10.34	$16.52	$27.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.54 / $26.56 / $43.11	Professional	TC	$19.54	$26.56	$43.11
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $50.00 / $70.00 / $70.00	Facility	26	$50.00	$70.00	$70.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $195.66 / $195.66 / $254.63	Professional		$195.66	$195.66	$254.63
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $69.84 / $69.84 / $83.70	Professional	26	$69.84	$69.84	$83.70
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $129.61 / $129.61 / $170.93	Professional	TC	$129.61	$129.61	$170.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $48.58 / $69.30	Professional		$36.79	$48.58	$69.30
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.04 / $16.55 / $22.77	Professional	26	$13.04	$16.55	$22.77
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $25.23 / $32.03 / $42.53	Professional	TC	$25.23	$32.03	$42.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $31.09 / $57.66	Professional		$11.44	$31.09	$57.66
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $11.90 / $11.90 / $11.90	Facility	26	$11.90	$11.90	$11.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $45.58 / $81.76	Professional		$29.58	$45.58	$81.76
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.58 / $16.71 / $26.16	Professional	26	$10.58	$16.71	$26.16
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.54 / $26.56 / $40.52	Professional	TC	$19.54	$26.56	$40.52
United Facility/Professional Professional Modifier Low / Median / High Price $29.73 / $39.33 / $63.64	Professional		$29.73	$39.33	$63.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $15.16 / $25.37	Professional	26	$11.21	$15.16	$25.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.69 / $24.34 / $40.39	Professional	TC	$17.69	$24.34	$40.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $28.18 / $39.93	Professional		$25.13	$28.18	$39.93
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $8.56 / $9.85 / $13.61	Professional	26	$8.56	$9.85	$13.61
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $16.57 / $18.34 / $26.33	Professional	TC	$16.57	$18.34	$26.33