Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $58.81 / $81.22	Professional		$43.47	$58.81	$81.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.69 / $32.59 / $48.63	Professional	26	$25.69	$32.59	$48.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.66 / $23.50 / $33.08	Professional	TC	$17.66	$23.50	$33.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.60 / $59.60 / $59.60	Professional		$59.60	$59.60	$59.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $44.59 / $59.90	Professional		$25.62	$44.59	$59.90
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $61.89 / $68.54 / $99.55	Professional		$61.89	$68.54	$99.55
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $34.22 / $35.54 / $35.54	Professional	26	$34.22	$35.54	$35.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $68.72 / $106.28	Professional		$50.06	$68.72	$106.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.10 / $40.90 / $65.27	Professional	26	$30.10	$40.90	$65.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.73 / $28.07 / $45.23	Professional	TC	$19.73	$28.07	$45.23
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $84.68 / $165.02 / $183.07	Facility	26	$84.68	$165.02	$183.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $396.08 / $396.08 / $525.75	Professional		$396.08	$396.08	$525.75
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $347.34 / $347.34 / $347.34	Professional	26	$347.34	$347.34	$347.34
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $166.53 / $166.53 / $233.18	Professional	TC	$166.53	$166.53	$233.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $77.23 / $111.20	Professional		$38.79	$77.23	$111.20
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $39.49 / $47.60 / $65.58	Professional	26	$39.49	$47.60	$65.58
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $29.70 / $35.79 / $49.33	Professional	TC	$29.70	$35.79	$49.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $60.45 / $127.02	Professional		$30.65	$60.45	$127.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $71.34 / $121.82	Professional		$51.86	$71.34	$121.82
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $30.10 / $41.18 / $64.98	Professional	26	$30.10	$41.18	$64.98
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $28.27 / $45.51	Professional	TC	$19.89	$28.27	$45.51
United Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $56.37 / $81.56	Professional		$45.22	$56.37	$81.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.48 / $34.76 / $52.08	Professional	26	$28.48	$34.76	$52.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.50 / $22.67 / $32.36	Professional	TC	$17.50	$22.67	$32.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.39 / $59.60 / $62.48	Professional		$52.39	$59.60	$62.48
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $30.09 / $34.54 / $47.99	Professional	26	$30.09	$34.54	$47.99
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $22.63 / $25.06 / $35.08	Professional	TC	$22.63	$25.06	$35.08