Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.92 / $51.33 / $72.33	Facility	26	$42.92	$51.33	$72.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.79 / $343.55 / $485.28	Professional		$275.79	$343.55	$485.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.40 / $56.90 / $99.89	Professional	26	$46.40	$56.90	$99.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.58 / $320.41 / $416.53	Professional		$208.58	$320.41	$416.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.65 / $57.92 / $78.98	Professional	26	$52.65	$57.92	$78.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $243.14 / $469.25	Professional		$49.86	$243.14	$469.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $208.86 / $494.17	Professional		$178.00	$208.86	$494.17
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $52.16 / $57.52 / $57.52	Professional	26	$52.16	$57.52	$57.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.30 / $422.10 / $692.63	Professional		$259.30	$422.10	$692.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.38 / $72.68 / $111.00	Professional	26	$54.38	$72.68	$111.00
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $128.97 / $276.20 / $276.20	Facility	26	$128.97	$276.20	$276.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,222.29 / $2,222.29 / $2,930.55	Professional		$2,222.29	$2,222.29	$2,930.55
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $447.83 / $774.69 / $774.69	Professional	26	$447.83	$774.69	$774.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.20 / $455.02 / $825.84	Professional		$101.20	$455.02	$825.84
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $62.99 / $82.16 / $99.88	Professional	26	$62.99	$82.16	$99.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $343.26 / $640.82	Professional		$62.10	$343.26	$640.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $307.73 / $458.11 / $861.59	Professional		$307.73	$458.11	$861.59
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $55.05 / $74.55 / $111.00	Professional	26	$55.05	$74.55	$111.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.45 / $352.03 / $538.78	Professional		$251.45	$352.03	$538.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.92 / $62.15 / $99.41	Professional	26	$44.92	$62.15	$99.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $287.66 / $336.58 / $457.93	Professional		$287.66	$336.58	$457.93
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $45.83 / $53.92 / $72.95	Professional	26	$45.83	$53.92	$72.95