Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.69 / $29.15 / $51.31	Facility	26	$23.69	$29.15	$51.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $70.06 / $99.55	Professional		$52.50	$70.06	$99.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.15 / $37.39 / $52.23	Professional	26	$29.15	$37.39	$52.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.37 / $64.89 / $64.89	Professional		$63.37	$64.89	$64.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.03 / $57.29 / $95.49	Professional		$31.03	$57.29	$95.49
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $34.95 / $50.57 / $50.57	Professional	26	$34.95	$50.57	$50.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.25 / $85.02 / $138.62	Professional		$64.25	$85.02	$138.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.25 / $48.38 / $79.98	Professional	26	$36.25	$48.38	$79.98
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $83.11 / $85.00 / $173.80	Facility	26	$83.11	$85.00	$173.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $457.11 / $457.11 / $573.83	Professional		$457.11	$457.11	$573.83
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $229.85 / $229.85 / $281.25	Professional	26	$229.85	$229.85	$281.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.37 / $94.19 / $131.19	Professional		$77.37	$94.19	$131.19
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $39.84 / $47.54 / $66.22	Professional	26	$39.84	$47.54	$66.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.02 / $59.44 / $117.88	Professional		$34.02	$59.44	$117.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.97 / $87.84 / $153.58	Professional		$64.97	$87.84	$153.58
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $35.63 / $48.33 / $78.09	Professional	26	$35.63	$48.33	$78.09
United Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $67.34 / $105.14	Professional		$50.62	$67.34	$105.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.27 / $40.11 / $64.41	Professional	26	$29.27	$40.11	$64.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.42 / $64.89 / $91.42	Professional		$57.42	$64.89	$91.42
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $28.98 / $33.40 / $46.18	Professional	26	$28.98	$33.40	$46.18