Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $39.81 / $43.65	Facility	26	$33.11	$39.81	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $85.11	Professional		$56.23	$64.57	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $44.67 / $57.54	Professional	26	$38.02	$44.67	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $52.48 / $52.48	Professional		$36.31	$52.48	$52.48
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $42.66 / $42.66	Professional	26	$41.69	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $131.83	Professional		$61.66	$79.43	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $56.23 / $93.33	Professional	26	$42.66	$56.23	$93.33
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $281.84 / $281.84 / $281.84	Facility	26	$281.84	$281.84	$281.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $524.81	Professional		$407.38	$524.81	$524.81
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $281.84 / $354.81 / $354.81	Professional	26	$281.84	$354.81	$354.81
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $39.81 / $43.65	Facility	26	$33.11	$39.81	$43.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $95.50	Professional		$53.70	$66.07	$95.50
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $45.71 / $69.18	Professional	26	$38.02	$45.71	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $50.12	Professional		$32.36	$33.11	$50.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $158.49 / $229.09	Professional		$70.79	$158.49	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $144.54	Professional		$61.66	$83.18	$144.54
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $56.23 / $93.33	Professional	26	$42.66	$56.23	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $109.65	Professional		$52.48	$69.18	$109.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $48.98 / $77.62	Professional	26	$37.15	$48.98	$77.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $75.86	Professional		$48.98	$63.10	$75.86
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $43.65 / $52.48	Professional	26	$33.88	$43.65	$52.48