Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.49 / $11.63 / $20.50	Facility	26	$9.49	$11.63	$20.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $48.37 / $74.56	Professional		$38.11	$48.37	$74.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.63 / $14.92 / $20.65	Professional	26	$11.63	$14.92	$20.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.45 / $33.85 / $52.91	Professional	TC	$26.45	$33.85	$52.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $33.34 / $64.45	Professional		$12.69	$33.34	$64.45
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $12.94 / $13.24 / $13.24	Professional	26	$12.94	$13.24	$13.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.69 / $65.55 / $110.67	Professional		$46.69	$65.55	$110.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.27 / $19.67 / $34.17	Professional	26	$14.27	$19.67	$34.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.71 / $46.02 / $75.48	Professional	TC	$31.71	$46.02	$75.48
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $32.90 / $70.00 / $80.00	Facility	26	$32.90	$70.00	$80.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $541.00 / $541.00 / $541.00	Professional		$541.00	$541.00	$541.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $91.83 / $91.83 / $109.58	Professional	26	$91.83	$91.83	$109.58
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $217.68 / $223.65 / $235.95	Professional	TC	$217.68	$223.65	$235.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $56.15 / $78.20	Professional		$46.13	$56.15	$78.20
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.55 / $18.55 / $25.86	Professional	26	$15.55	$18.55	$25.86
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $31.50 / $37.59 / $52.36	Professional	TC	$31.50	$37.59	$52.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $43.39 / $74.48	Professional		$16.69	$43.39	$74.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.69 / $67.23 / $110.55	Professional		$46.69	$67.23	$110.55
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $14.27 / $19.59 / $31.72	Professional	26	$14.27	$19.59	$31.72
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $31.66 / $45.85 / $72.09	Professional	TC	$31.66	$45.85	$72.09
United Facility/Professional Professional Modifier Low / Median / High Price $40.77 / $55.32 / $89.63	Professional		$40.77	$55.32	$89.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.16 / $16.30 / $26.21	Professional	26	$12.16	$16.30	$26.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.47 / $39.02 / $63.94	Professional	TC	$28.47	$39.02	$63.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $38.45 / $54.47	Professional		$34.22	$38.45	$54.47
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $13.08 / $18.02	Professional	26	$11.32	$13.08	$18.02
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $35.52 / $47.00	Professional	TC	$25.37	$35.52	$47.00