Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.52 / $17.82 / $31.36	Facility	26	$14.52	$17.82	$31.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $53.15 / $76.55	Professional		$35.53	$53.15	$76.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $22.24 / $31.85	Professional	26	$17.82	$22.24	$31.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.22 / $24.22 / $27.80	Professional	26	$24.22	$24.22	$27.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $39.45 / $72.75	Professional		$19.03	$39.45	$72.75
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $81.13 / $81.13 / $81.13	Professional		$81.13	$81.13	$81.13
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $20.16 / $21.43 / $21.43	Professional	26	$20.16	$21.43	$21.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $58.50 / $97.76	Professional		$40.79	$58.50	$97.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.89 / $29.19 / $47.47	Professional	26	$21.89	$29.19	$47.47
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $50.69 / $96.88 / $106.12	Facility	26	$50.69	$96.88	$106.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $352.79 / $352.79 / $426.98	Professional		$352.79	$352.79	$426.98
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $140.68 / $140.68 / $171.23	Professional	26	$140.68	$140.68	$171.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.28 / $69.73 / $97.13	Professional		$57.28	$69.73	$97.13
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.28 / $28.98 / $40.36	Professional	26	$24.28	$28.98	$40.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $50.90 / $92.44	Professional		$26.32	$50.90	$92.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $60.06 / $109.95	Professional		$41.89	$60.06	$109.95
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $21.89 / $28.91 / $44.62	Professional	26	$21.89	$28.91	$44.62
United Facility/Professional Professional Modifier Low / Median / High Price $31.16 / $44.17 / $71.92	Professional		$31.16	$44.17	$71.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.87 / $23.82 / $36.96	Professional	26	$17.87	$23.82	$36.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $47.87 / $67.69	Professional		$42.51	$47.87	$67.69
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $17.67 / $20.36 / $28.16	Professional	26	$17.67	$20.36	$28.16