Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $49.61 / $70.17	Professional		$36.47	$49.61	$70.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.88 / $7.89 / $11.55	Professional	26	$5.88	$7.89	$11.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.59 / $39.01 / $56.61	Professional	TC	$30.59	$39.01	$56.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $50.12 / $60.98	Professional		$46.61	$50.12	$60.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $25.35 / $66.18	Professional		$6.96	$25.35	$66.18
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.89 / $80.19	Professional		$50.12	$57.89	$80.19
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $8.17 / $8.56 / $8.88	Professional	26	$8.17	$8.56	$8.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.62 / $60.69 / $86.84	Professional		$41.62	$60.69	$86.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $10.24 / $17.47	Professional	26	$7.51	$10.24	$17.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.89 / $49.66 / $71.98	Professional	TC	$34.89	$49.66	$71.98
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $20.12 / $59.20 / $100.00	Facility	26	$20.12	$59.20	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $343.33 / $343.33 / $459.30	Professional		$343.33	$343.33	$459.30
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $166.76 / $166.76 / $166.76	Professional	26	$166.76	$166.76	$166.76
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $288.04 / $288.04 / $388.73	Professional	TC	$288.04	$288.04	$388.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $61.84 / $89.62	Professional		$48.74	$61.84	$89.62
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.25 / $10.93 / $14.30	Professional	26	$9.25	$10.93	$14.30
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $48.74 / $57.60 / $79.08	Professional	TC	$48.74	$57.60	$79.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $50.24 / $85.56	Professional		$8.89	$50.24	$85.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $61.86 / $97.14	Professional		$43.60	$61.86	$97.14
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.69 / $10.39 / $16.64	Professional	26	$7.69	$10.39	$16.64
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $35.79 / $51.05 / $77.41	Professional	TC	$35.79	$51.05	$77.41
United Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $48.39 / $69.72	Professional		$37.79	$48.39	$69.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $8.44 / $12.45	Professional	26	$7.02	$8.44	$12.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.07 / $39.95 / $55.03	Professional	TC	$31.07	$39.95	$55.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $50.12 / $71.59	Professional		$44.99	$50.12	$71.59
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $7.18 / $8.25 / $11.41	Professional	26	$7.18	$8.25	$11.41
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $37.82 / $41.87 / $60.18	Professional	TC	$37.82	$41.87	$60.18