Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $31.01 / $51.85	Professional		$23.17	$31.01	$51.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.12 / $14.01 / $20.99	Professional	26	$11.12	$14.01	$20.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.05 / $15.74 / $33.75	Professional	TC	$12.05	$15.74	$33.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $63.77 / $263.33	Facility		$34.65	$63.77	$263.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $23.48 / $26.50	Professional		$11.15	$23.48	$26.50
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $35.75 / $49.74	Professional		$32.35	$35.75	$49.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.43 / $27.43 / $32.64	Facility		$27.43	$27.43	$32.64
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $14.76 / $15.45 / $15.45	Professional	26	$14.76	$15.45	$15.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $39.65 / $82.51	Professional		$27.05	$39.65	$82.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $18.02 / $33.15	Professional	26	$13.10	$18.02	$33.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.14 / $20.83 / $51.01	Professional	TC	$14.14	$20.83	$51.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $98.62 / $108.08 / $174.90	Facility		$98.62	$108.08	$174.90
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $36.40 / $46.52 / $100.00	Facility	26	$36.40	$46.52	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $277.88 / $354.38 / $366.08	Professional		$277.88	$354.38	$366.08
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $98.32 / $98.61 / $126.75	Professional	26	$98.32	$98.61	$126.75
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $180.44 / $180.44 / $180.44	Professional	TC	$180.44	$180.44	$180.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.11 / $39.51 / $67.26	Facility		$25.11	$39.51	$67.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $40.44 / $58.23	Professional		$18.85	$40.44	$58.23
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.02 / $19.76 / $27.36	Professional	26	$17.02	$19.76	$27.36
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $19.20 / $22.28 / $30.85	Professional	TC	$19.20	$22.28	$30.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $31.12 / $65.48	Professional		$16.20	$31.12	$65.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.20 / $39.51 / $67.98	Facility		$24.20	$39.51	$67.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $41.13 / $81.94	Professional		$27.55	$41.13	$81.94
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $18.02 / $33.15	Professional	26	$13.10	$18.02	$33.15
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $14.14 / $20.83 / $47.17	Professional	TC	$14.14	$20.83	$47.17
United Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $34.96 / $58.55	Professional		$25.72	$34.96	$58.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.44 / $15.48 / $24.84	Professional	26	$12.44	$15.48	$24.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.27 / $18.23 / $37.18	Professional	TC	$13.27	$18.23	$37.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.53 / $31.09 / $62.00	Professional		$27.53	$31.09	$62.00
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $12.97 / $14.90 / $20.67	Professional	26	$12.97	$14.90	$20.67
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $14.63 / $16.20 / $22.68	Professional	TC	$14.63	$16.20	$22.68