Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.32 / $11.14 / $17.57	Facility	26	$9.32	$11.14	$17.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $41.11 / $55.99	Professional		$34.71	$41.11	$55.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.49 / $12.17 / $16.20	Professional	26	$10.49	$12.17	$16.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.68 / $28.51 / $39.31	Professional	TC	$23.68	$28.51	$39.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $28.93 / $53.65	Professional		$10.88	$28.93	$53.65
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $40.19 / $49.43 / $70.05	Professional		$40.19	$49.43	$70.05
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $11.35 / $12.20 / $12.59	Professional	26	$11.35	$12.20	$12.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.91 / $13.91 / $13.91	Facility	26	$13.91	$13.91	$13.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $52.57 / $80.81	Professional		$40.72	$52.57	$80.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.97 / $15.65 / $24.56	Professional	26	$11.97	$15.65	$24.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.50 / $37.06 / $56.46	Professional	TC	$28.50	$37.06	$56.46
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $28.55 / $80.00 / $85.00	Facility	26	$28.55	$80.00	$85.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $251.93 / $251.93 / $372.23	Professional		$251.93	$251.93	$372.23
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $76.73 / $76.73 / $96.68	Professional	26	$76.73	$76.73	$96.68
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $175.19 / $175.19 / $275.55	Professional	TC	$175.19	$175.19	$275.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $60.23 / $77.44	Professional		$43.02	$60.23	$77.44
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.39 / $16.30 / $21.65	Professional	26	$13.39	$16.30	$21.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $36.06 / $60.64	Professional		$12.14	$36.06	$60.64
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $13.91 / $13.91 / $13.91	Facility	26	$13.91	$13.91	$13.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.93 / $57.00 / $99.12	Professional		$41.93	$57.00	$99.12
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $12.06 / $15.72 / $23.84	Professional	26	$12.06	$15.72	$23.84
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $28.28 / $36.97 / $55.34	Professional	TC	$28.28	$36.97	$55.34
United Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $43.58 / $68.20	Professional		$33.20	$43.58	$68.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.03 / $13.49 / $20.67	Professional	26	$10.03	$13.49	$20.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.81 / $29.95 / $47.52	Professional	TC	$22.81	$29.95	$47.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $41.11 / $58.41	Professional		$36.72	$41.11	$58.41
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $9.93 / $11.46 / $15.82	Professional	26	$9.93	$11.46	$15.82
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $26.78 / $29.65 / $42.59	Professional	TC	$26.78	$29.65	$42.59