Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.97 / $40.31 / $50.64	Facility	26	$33.97	$40.31	$50.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $65.16 / $85.26	Professional		$52.48	$65.16	$85.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.68 / $44.98 / $59.52	Professional	26	$36.68	$44.98	$59.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $51.67 / $78.28	Professional		$35.34	$51.67	$78.28
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $41.80 / $42.53 / $42.53	Professional	26	$41.80	$42.53	$42.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.48 / $79.98 / $126.42	Professional		$61.48	$79.98	$126.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.51 / $56.67 / $87.49	Professional	26	$42.51	$56.67	$87.49
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $104.07 / $222.92 / $222.92	Facility	26	$104.07	$222.92	$222.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $404.18 / $404.18 / $529.79	Professional		$404.18	$404.18	$529.79
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $278.89 / $278.89 / $356.10	Professional	26	$278.89	$278.89	$356.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.61 / $96.01 / $116.72	Professional		$73.61	$96.01	$116.72
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $50.46 / $65.81 / $80.02	Professional	26	$50.46	$65.81	$80.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $56.38 / $110.94	Professional		$21.76	$56.38	$110.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.51 / $87.44 / $160.19	Professional		$62.51	$87.44	$160.19
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $43.23 / $58.49 / $87.49	Professional	26	$43.23	$58.49	$87.49
United Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $68.40 / $111.91	Professional		$51.84	$68.40	$111.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.95 / $48.50 / $78.52	Professional	26	$36.95	$48.50	$78.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $62.93 / $85.35	Professional		$53.56	$62.93	$85.35
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $36.72 / $43.27 / $58.58	Professional	26	$36.72	$43.27	$58.58