Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $205.58 / $279.35 / $418.57	Facility	26	$205.58	$279.35	$418.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.91 / $1,072.31 / $1,610.24	Professional		$758.91	$1,072.31	$1,610.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $205.58 / $314.27 / $553.40	Professional	26	$205.58	$314.27	$553.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $286.72 / $310.08 / $400.12	Professional	26	$286.72	$310.08	$400.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.13 / $962.41 / $1,767.65	Professional		$293.13	$962.41	$1,767.65
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,444.08 / $1,559.42 / $1,703.75	Professional		$1,444.08	$1,559.42	$1,703.75
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $319.13 / $319.13 / $319.61	Professional	26	$319.13	$319.13	$319.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,190.56 / $1,531.33 / $2,240.67	Professional		$1,190.56	$1,531.33	$2,240.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $343.53 / $450.50 / $674.00	Professional	26	$343.53	$450.50	$674.00
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $2,401.92 / $2,924.64 / $3,007.60	Facility	26	$2,401.92	$2,924.64	$3,007.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,402.64 / $7,402.64 / $9,056.62	Professional		$7,402.64	$7,402.64	$9,056.62
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $2,032.70 / $2,032.70 / $2,736.98	Professional	26	$2,032.70	$2,032.70	$2,736.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $990.55 / $1,555.07 / $1,866.08	Professional		$990.55	$1,555.07	$1,866.08
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $409.15 / $472.10 / $550.78	Professional	26	$409.15	$472.10	$550.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $585.51 / $1,451.92 / $3,668.45	Professional		$585.51	$1,451.92	$3,668.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,162.90 / $1,573.60 / $2,307.78	Professional		$1,162.90	$1,573.60	$2,307.78
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $343.05 / $447.68 / $663.36	Professional	26	$343.05	$447.68	$663.36
United Facility/Professional Professional Modifier Low / Median / High Price $955.66 / $1,254.30 / $2,057.39	Professional		$955.66	$1,254.30	$2,057.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $281.79 / $385.08 / $595.12	Professional	26	$281.79	$385.08	$595.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $884.80 / $990.55 / $1,403.47	Professional		$884.80	$990.55	$1,403.47
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $268.61 / $308.30 / $422.27	Professional	26	$268.61	$308.30	$422.27