Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.63 / $16.75 / $29.44	Facility	26	$13.63	$16.75	$29.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.86 / $48.44 / $76.17	Professional		$29.86	$48.44	$76.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.75 / $21.08 / $29.98	Professional	26	$16.75	$21.08	$29.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.31 / $29.32 / $45.80	Professional	TC	$10.31	$29.32	$45.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.58 / $48.44 / $53.28	Professional		$47.58	$48.44	$53.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.39 / $19.98 / $23.67	Professional	26	$19.39	$19.98	$23.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $40.65 / $73.66	Professional		$18.73	$40.65	$73.66
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $52.01 / $67.81 / $89.61	Professional		$52.01	$67.81	$89.61
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $19.57 / $19.57 / $20.14	Professional	26	$19.57	$19.57	$20.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $56.70 / $95.16	Professional		$36.38	$56.70	$95.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.65 / $27.75 / $45.51	Professional	26	$20.65	$27.75	$45.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.71 / $29.01 / $52.96	Professional	TC	$11.71	$29.01	$52.96
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $48.04 / $92.34 / $100.32	Facility	26	$48.04	$92.34	$100.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $355.02 / $355.02 / $434.33	Professional		$355.02	$355.02	$434.33
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $132.09 / $132.09 / $164.40	Professional	26	$132.09	$132.09	$164.40
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $222.93 / $222.93 / $269.93	Professional	TC	$222.93	$222.93	$269.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $70.64 / $98.40	Professional		$58.03	$70.64	$98.40
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.66 / $29.60 / $75.69	Professional	26	$24.66	$29.60	$75.69
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $36.04 / $43.02 / $59.92	Professional	TC	$36.04	$43.02	$59.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $50.45 / $93.62	Professional		$24.80	$50.45	$93.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $58.68 / $107.43	Professional		$37.50	$58.68	$107.43
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $20.56 / $27.28 / $42.91	Professional	26	$20.56	$27.28	$42.91
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $11.41 / $28.65 / $49.46	Professional	TC	$11.41	$28.65	$49.46
United Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $41.11 / $66.16	Professional		$27.85	$41.11	$66.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.79 / $22.38 / $34.86	Professional	26	$16.79	$22.38	$34.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.69 / $19.48 / $35.07	Professional	TC	$8.69	$19.48	$35.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $48.44 / $68.50	Professional		$43.07	$48.44	$68.50
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $16.84 / $19.39 / $26.78	Professional	26	$16.84	$19.39	$26.78
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $26.23 / $29.04 / $41.72	Professional	TC	$26.23	$29.04	$41.72