Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.18 / $20.45 / $24.16	Facility	26	$17.18	$20.45	$24.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.44 / $72.73 / $94.65	Professional		$57.44	$72.73	$94.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.09 / $22.45 / $29.64	Professional	26	$19.09	$22.45	$29.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $55.89 / $103.67	Professional		$19.95	$55.89	$103.67
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $21.19 / $21.70	Professional	26	$19.89	$21.19	$21.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.49 / $24.49 / $24.49	Facility	26	$24.49	$24.49	$24.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.37 / $89.53 / $140.99	Professional		$67.37	$89.53	$140.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.78 / $28.96 / $45.52	Professional	26	$21.78	$28.96	$45.52
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $51.03 / $95.38 / $103.36	Facility	26	$51.03	$95.38	$103.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $437.32 / $437.32 / $546.00	Professional		$437.32	$437.32	$546.00
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $141.18 / $141.18 / $167.40	Professional	26	$141.18	$141.18	$167.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $88.76 / $117.92	Professional		$69.73	$88.76	$117.92
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $28.53 / $37.90	Professional	26	$23.44	$28.53	$37.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.09 / $48.62 / $85.86	Professional		$21.09	$48.62	$85.86
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $24.49 / $24.49 / $24.49	Facility	26	$24.49	$24.49	$24.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $97.48 / $175.79	Professional		$70.20	$97.48	$175.79
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $21.94 / $28.96 / $44.25	Professional	26	$21.94	$28.96	$44.25
United Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $79.92 / $124.98	Professional		$58.46	$79.92	$124.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.23 / $25.08 / $38.86	Professional	26	$18.23	$25.08	$38.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $60.77 / $86.10	Professional		$54.11	$60.77	$86.10
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $20.13 / $27.73	Professional	26	$17.39	$20.13	$27.73