Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.17 / $7.66 / $11.28	Facility	26	$6.17	$7.66	$11.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $30.57 / $59.14	Professional		$24.40	$30.57	$59.14
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.15 / $47.07 / $47.07	Professional	25	$37.15	$47.07	$47.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.04 / $8.41 / $18.32	Professional	26	$7.04	$8.41	$18.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.21 / $20.45 / $33.94	Professional	TC	$16.21	$20.45	$33.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $25.39 / $32.97	Professional		$21.94	$25.39	$32.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.10 / $8.39 / $10.37	Professional	26	$7.10	$8.39	$10.37
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.16 / $17.16 / $17.16	Professional	TC	$17.16	$17.16	$17.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $18.98 / $36.38	Professional		$6.42	$18.98	$36.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $34.24 / $66.05	Professional		$25.36	$34.24	$66.05
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $8.24 / $11.38 / $11.38	Professional	26	$8.24	$11.38	$11.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	26	$9.25	$9.25	$9.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $41.18 / $65.00	Professional		$28.19	$41.18	$65.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.01 / $10.43 / $16.46	Professional	26	$8.01	$10.43	$16.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.52 / $30.68 / $47.37	Professional	TC	$19.52	$30.68	$47.37
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $18.87 / $100.00 / $100.00	Facility	26	$18.87	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $400.00 / $400.00	Professional		$45.46	$400.00	$400.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $132.09 / $132.09 / $132.09	Professional	26	$132.09	$132.09	$132.09
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $135.32 / $139.38 / $165.23	Professional	TC	$135.32	$139.38	$165.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $37.13 / $59.58	Professional		$10.57	$37.13	$59.58
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.92 / $11.08 / $18.28	Professional	26	$8.92	$11.08	$18.28
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $21.57 / $26.26 / $34.89	Professional	TC	$21.57	$26.26	$34.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $22.30 / $38.22	Professional		$8.30	$22.30	$38.22
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	26	$9.25	$9.25	$9.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $44.13 / $69.58	Professional		$28.79	$44.13	$69.58
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $10.48 / $15.85	Professional	26	$8.11	$10.48	$15.85
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $31.06 / $47.16	Professional	TC	$19.89	$31.06	$47.16
United Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $36.52 / $57.74	Professional		$27.14	$36.52	$57.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.54 / $8.67 / $13.64	Professional	26	$6.54	$8.67	$13.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.57 / $27.88 / $42.84	Professional	TC	$20.57	$27.88	$42.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $25.36 / $35.97	Professional		$22.63	$25.36	$35.97
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $6.62 / $7.64 / $10.53	Professional	26	$6.62	$7.64	$10.53
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $16.01 / $17.73 / $25.45	Professional	TC	$16.01	$17.73	$25.45