Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.18 / $51.64 / $72.33	Facility	26	$43.18	$51.64	$72.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.31 / $391.65 / $560.03	Professional		$316.31	$391.65	$560.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $264.98 / $335.14 / $480.65	Professional	TC	$264.98	$335.14	$480.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $357.39 / $357.39 / $357.39	Professional		$357.39	$357.39	$357.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $294.83 / $550.03	Professional		$44.72	$294.83	$550.03
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $384.29 / $484.86 / $674.53	Professional		$384.29	$484.86	$674.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.24 / $461.09 / $772.22	Professional		$267.24	$461.09	$772.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $249.63 / $398.87 / $668.72	Professional	TC	$249.63	$398.87	$668.72
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $128.97 / $347.00 / $347.00	Facility	26	$128.97	$347.00	$347.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,673.66 / $2,673.66 / $3,521.78	Professional		$2,673.66	$2,673.66	$3,521.78
Lucent Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,317.40 / $2,317.40 / $3,073.88	Professional	TC	$2,317.40	$2,317.40	$3,073.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.80 / $619.11 / $778.10	Professional		$112.80	$619.11	$778.10
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $411.68 / $536.97 / $652.79	Professional	TC	$411.68	$536.97	$652.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $421.32 / $768.58	Professional		$60.55	$421.32	$768.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.06 / $529.49 / $985.08	Professional		$353.06	$529.49	$985.08
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $270.12 / $409.34 / $663.29	Professional	TC	$270.12	$409.34	$663.29
United Facility/Professional Professional Modifier Low / Median / High Price $288.58 / $400.23 / $621.03	Professional		$288.58	$400.23	$621.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $236.99 / $340.68 / $520.22	Professional	TC	$236.99	$340.68	$520.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $345.36 / $404.05 / $549.84	Professional		$345.36	$404.05	$549.84
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $299.52 / $350.13 / $476.89	Professional	TC	$299.52	$350.13	$476.89