Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.83 / $17.64 / $21.70	Facility	26	$14.83	$17.64	$21.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.49 / $71.70 / $101.95	Professional		$59.49	$71.70	$101.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.81 / $19.36 / $27.14	Professional	26	$15.81	$19.36	$27.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.57 / $21.57 / $21.57	Professional	26	$21.57	$21.57	$21.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $52.75 / $97.76	Professional		$17.32	$52.75	$97.76
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $17.91 / $19.71 / $19.71	Professional	26	$17.91	$19.71	$19.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.80 / $21.80 / $21.80	Facility	26	$21.80	$21.80	$21.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.71 / $87.46 / $133.74	Professional		$58.71	$87.46	$133.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.92 / $24.99 / $38.15	Professional	26	$18.92	$24.99	$38.15
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $44.37 / $100.00 / $100.00	Facility	26	$44.37	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $490.88 / $490.88 / $569.17	Professional		$490.88	$490.88	$569.17
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $122.01 / $122.01 / $153.38	Professional	26	$122.01	$122.01	$153.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $98.99 / $122.74	Professional		$82.49	$98.99	$122.74
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.51 / $28.21 / $34.29	Professional	26	$23.51	$28.21	$34.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $64.66 / $100.31	Professional		$22.88	$64.66	$100.31
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $21.80 / $21.80 / $21.80	Facility	26	$21.80	$21.80	$21.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $90.54 / $143.84	Professional		$61.81	$90.54	$143.84
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $18.98 / $25.70 / $38.18	Professional	26	$18.98	$25.70	$38.18
United Facility/Professional Professional Modifier Low / Median / High Price $53.37 / $72.98 / $112.23	Professional		$53.37	$72.98	$112.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.79 / $21.35 / $33.06	Professional	26	$15.79	$21.35	$33.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $63.01 / $89.71	Professional		$56.32	$63.01	$89.71
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $15.74 / $18.07 / $25.07	Professional	26	$15.74	$18.07	$25.07