Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.52 / $30.43 / $41.12	Facility	26	$24.52	$30.43	$41.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.97 / $90.52 / $122.41	Professional		$77.97	$90.52	$122.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.54 / $31.89 / $42.30	Professional	26	$28.54	$31.89	$42.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $72.41 / $76.01	Professional		$72.41	$72.41	$76.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.12 / $27.12 / $27.12	Professional	26	$27.12	$27.12	$27.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $64.69 / $118.22	Professional		$28.10	$64.69	$118.22
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $29.35 / $31.09 / $31.80	Professional	26	$29.35	$31.09	$31.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.04 / $36.04 / $36.04	Facility	26	$36.04	$36.04	$36.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.72 / $114.64 / $180.67	Professional		$87.72	$114.64	$180.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.47 / $41.24 / $64.31	Professional	26	$31.47	$41.24	$64.31
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $74.91 / $140.77 / $153.47	Facility	26	$74.91	$140.77	$153.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $560.38 / $560.38 / $745.73	Professional		$560.38	$560.38	$745.73
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $201.28 / $201.28 / $247.13	Professional	26	$201.28	$201.28	$247.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.69 / $121.37 / $156.04	Professional		$86.69	$121.37	$156.04
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $34.59 / $42.11 / $55.95	Professional	26	$34.59	$42.11	$55.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $64.98 / $116.30	Professional		$31.07	$64.98	$116.30
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $36.04 / $36.04 / $36.04	Facility	26	$36.04	$36.04	$36.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.58 / $123.16 / $221.61	Professional		$91.58	$123.16	$221.61
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $31.81 / $41.33 / $62.96	Professional	26	$31.81	$41.33	$62.96
United Facility/Professional Professional Modifier Low / Median / High Price $73.52 / $97.77 / $153.88	Professional		$73.52	$97.77	$153.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.87 / $35.57 / $54.39	Professional	26	$25.87	$35.57	$54.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $83.15 / $117.75	Professional		$73.98	$83.15	$117.75
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $25.67 / $29.67 / $40.96	Professional	26	$25.67	$29.67	$40.96