Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.49 / $43.70 / $80.48	Professional		$32.49	$43.70	$80.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.63 / $18.57 / $27.68	Professional	26	$14.63	$18.57	$27.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $23.68 / $48.17	Professional	TC	$17.78	$23.68	$48.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $32.97 / $37.21	Professional		$14.47	$32.97	$37.21
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $45.57 / $54.30 / $75.51	Professional		$45.57	$54.30	$75.51
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $19.17 / $19.68 / $20.07	Professional	26	$19.17	$19.68	$20.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.84 / $55.64 / $108.37	Professional		$37.84	$55.64	$108.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.05 / $23.67 / $40.76	Professional	26	$17.05	$23.67	$40.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.22 / $31.07 / $68.06	Professional	TC	$21.22	$31.07	$68.06
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $47.60 / $100.00 / $101.79	Facility	26	$47.60	$100.00	$101.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $339.23 / $349.41 / $388.58	Professional		$339.23	$349.41	$388.58
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $128.44 / $128.44 / $163.95	Professional	26	$128.44	$128.44	$163.95
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $221.35 / $227.99 / $227.99	Professional	TC	$221.35	$227.99	$227.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $53.13 / $81.52	Professional		$28.11	$53.13	$81.52
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.10 / $25.65 / $35.51	Professional	26	$22.10	$25.65	$35.51
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.62 / $35.77 / $50.72	Professional	TC	$28.62	$35.77	$50.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $43.50 / $92.46	Professional		$22.93	$43.50	$92.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $56.06 / $110.08	Professional		$38.88	$56.06	$110.08
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $17.05 / $23.67 / $40.76	Professional	26	$17.05	$23.67	$40.76
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $21.22 / $31.07 / $65.59	Professional	TC	$21.22	$31.07	$65.59
United Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $48.72 / $77.70	Professional		$36.27	$48.72	$77.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.48 / $19.80 / $29.74	Professional	26	$16.48	$19.80	$29.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.76 / $26.84 / $51.30	Professional	TC	$19.76	$26.84	$51.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $43.50 / $62.00	Professional		$38.65	$43.50	$62.00
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $16.84 / $19.35 / $26.84	Professional	26	$16.84	$19.35	$26.84
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $21.81 / $24.14 / $33.79	Professional	TC	$21.81	$24.14	$33.79