Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.26 / $33.49 / $59.57	Facility	26	$27.26	$33.49	$59.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $75.93 / $119.99	Professional		$58.04	$75.93	$119.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.49 / $43.27 / $59.89	Professional	26	$33.49	$43.27	$59.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.11 / $86.11 / $86.11	Professional		$86.11	$86.11	$86.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.32 / $47.32 / $47.32	Professional	26	$47.32	$47.32	$47.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $65.41 / $104.13	Professional		$36.29	$65.41	$104.13
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $40.24 / $66.91 / $66.91	Professional	26	$40.24	$66.91	$66.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.23 / $92.37 / $151.40	Professional		$70.23	$92.37	$151.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.43 / $56.09 / $91.24	Professional	26	$41.43	$56.09	$91.24
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $96.12 / $184.67 / $201.64	Facility	26	$96.12	$184.67	$201.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $493.66 / $493.66 / $623.25	Professional		$493.66	$493.66	$623.25
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $264.24 / $264.24 / $327.83	Professional	26	$264.24	$264.24	$327.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.07 / $102.34 / $142.55	Professional		$84.07	$102.34	$142.55
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.38 / $55.24 / $76.95	Professional	26	$45.38	$55.24	$76.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $61.58 / $124.93	Professional		$34.97	$61.58	$124.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.92 / $95.67 / $167.06	Professional		$70.92	$95.67	$167.06
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $41.26 / $55.69 / $89.42	Professional	26	$41.26	$55.69	$89.42
United Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $73.62 / $119.06	Professional		$55.22	$73.62	$119.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.31 / $45.47 / $73.89	Professional	26	$34.31	$45.47	$73.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $70.58 / $99.31	Professional		$62.39	$70.58	$99.31
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $33.68 / $38.79 / $53.62	Professional	26	$33.68	$38.79	$53.62