Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $28.74 / $50.49	Professional		$22.33	$28.74	$50.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.93 / $23.51 / $31.75	Professional	26	$17.93	$23.51	$31.75
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.86 / $14.17 / $23.48	Professional	52	$11.86	$14.17	$23.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.29 / $4.09 / $29.66	Professional	TC	$3.29	$4.09	$29.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $32.44 / $32.44	Professional		$32.44	$32.44	$32.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.95 / $26.95 / $26.95	Professional	26	$26.95	$26.95	$26.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $20.39 / $23.17	Professional		$17.32	$20.39	$23.17
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $23.25 / $24.04 / $24.04	Professional	26	$23.25	$24.04	$24.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $35.83 / $77.81	Professional		$24.48	$35.83	$77.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.96 / $26.22 / $42.22	Professional	26	$17.96	$26.22	$42.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.90 / $5.36 / $46.79	Professional	TC	$2.90	$5.36	$46.79
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $57.67 / $112.04 / $123.79	Facility	26	$57.67	$112.04	$123.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $303.81 / $312.93 / $312.93	Professional		$303.81	$312.93	$312.93
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $156.38 / $156.38 / $198.75	Professional	26	$156.38	$156.38	$198.75
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $211.93 / $217.43 / $217.43	Professional	TC	$211.93	$217.43	$217.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $36.17 / $50.08	Professional		$26.33	$36.17	$50.08
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.81 / $31.12 / $43.09	Professional	26	$26.81	$31.12	$43.09
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $4.34 / $5.04 / $6.98	Professional	TC	$4.34	$5.04	$6.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $24.44 / $47.48	Professional		$3.76	$24.44	$47.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $36.84 / $75.44	Professional		$24.52	$36.84	$75.44
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $17.96 / $26.25 / $42.90	Professional	26	$17.96	$26.25	$42.90
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $2.70 / $5.29 / $45.68	Professional	TC	$2.70	$5.29	$45.68
United Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $29.28 / $64.68	Professional		$22.05	$29.28	$64.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.92 / $20.79 / $32.36	Professional	26	$14.92	$20.79	$32.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.64 / $4.38 / $45.50	Professional	TC	$2.64	$4.38	$45.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $27.13 / $37.97	Professional		$23.74	$27.13	$37.97
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $20.43 / $23.47 / $32.56	Professional	26	$20.43	$23.47	$32.56
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $3.31 / $3.66 / $5.12	Professional	TC	$3.31	$3.66	$5.12