Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.97 / $42.70 / $51.86	Facility	26	$35.97	$42.70	$51.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.21 / $234.95 / $384.09	Professional		$176.21	$234.95	$384.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.54 / $52.65 / $84.60	Professional	26	$38.54	$52.65	$84.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.01 / $189.25 / $388.08	Professional		$48.01	$189.25	$388.08
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $50.16 / $52.83 / $54.52	Professional	26	$50.16	$52.83	$54.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.41 / $60.41 / $60.41	Facility	26	$60.41	$60.41	$60.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.46 / $316.64 / $497.67	Professional		$230.46	$316.64	$497.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.53 / $68.43 / $110.07	Professional	26	$49.53	$68.43	$110.07
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $122.35 / $268.99 / $268.99	Facility	26	$122.35	$268.99	$268.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.46 / $1,659.46 / $2,730.98	Professional		$1,659.46	$1,659.46	$2,730.98
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $337.70 / $337.70 / $432.90	Professional	26	$337.70	$337.70	$432.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $400.87 / $518.78 / $565.94	Professional		$400.87	$518.78	$565.94
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $67.28 / $85.39 / $107.72	Professional	26	$67.28	$85.39	$107.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $357.10 / $544.00	Professional		$64.69	$357.10	$544.00
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $60.41 / $60.41 / $60.41	Facility	26	$60.41	$60.41	$60.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.03 / $338.81 / $649.44	Professional		$239.03	$338.81	$649.44
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $50.59 / $69.13 / $105.47	Professional	26	$50.59	$69.13	$105.47
United Facility/Professional Professional Modifier Low / Median / High Price $193.73 / $252.07 / $403.21	Professional		$193.73	$252.07	$403.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.47 / $58.92 / $97.98	Professional	26	$44.47	$58.92	$97.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $268.33 / $298.79 / $427.36	Professional		$268.33	$298.79	$427.36
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $44.17 / $50.59 / $70.34	Professional	26	$44.17	$50.59	$70.34