Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.41 / $16.47 / $28.97	Facility	26	$13.41	$16.47	$28.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $47.95 / $70.90	Professional		$33.82	$47.95	$70.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.47 / $21.35 / $29.47	Professional	26	$16.47	$21.35	$29.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $46.07 / $46.07	Professional		$46.07	$46.07	$46.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.39 / $19.39 / $19.39	Professional	26	$19.39	$19.39	$19.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $37.92 / $69.56	Professional		$18.25	$37.92	$69.56
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $19.21 / $20.14 / $20.14	Professional	26	$19.21	$20.14	$20.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $55.83 / $95.56	Professional		$38.77	$55.83	$95.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.39 / $28.19 / $46.77	Professional	26	$20.39	$28.19	$46.77
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $48.04 / $97.62 / $100.32	Facility	26	$48.04	$97.62	$100.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $331.15 / $331.15 / $420.15	Professional		$331.15	$331.15	$420.15
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $130.11 / $130.11 / $164.40	Professional	26	$130.11	$130.11	$164.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $68.38 / $95.24	Professional		$56.17	$68.38	$95.24
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.14 / $27.62 / $38.47	Professional	26	$23.14	$27.62	$38.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $49.60 / $90.52	Professional		$24.85	$49.60	$90.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $58.15 / $105.19	Professional		$39.38	$58.15	$105.19
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $20.53 / $27.78 / $44.76	Professional	26	$20.53	$27.78	$44.76
United Facility/Professional Professional Modifier Low / Median / High Price $29.41 / $41.60 / $69.66	Professional		$29.41	$41.60	$69.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.91 / $23.08 / $36.81	Professional	26	$16.91	$23.08	$36.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $46.91 / $66.30	Professional		$41.68	$46.91	$66.30
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $16.84 / $19.39 / $26.78	Professional	26	$16.84	$19.39	$26.78