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 / $24.77	Facility	26	$14.83	$17.64	$24.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $74.04 / $115.89	Professional		$56.50	$74.04	$115.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.81 / $19.29 / $28.98	Professional	26	$15.81	$19.29	$28.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $68.09 / $88.27	Professional		$68.09	$68.09	$88.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.57 / $18.57 / $21.57	Professional	26	$18.57	$18.57	$21.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $56.39 / $105.04	Professional		$17.32	$56.39	$105.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $105.25 / $130.31	Professional		$78.84	$105.25	$130.31
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $19.39 / $19.55 / $19.55	Professional	26	$19.39	$19.55	$19.55
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 $60.89 / $89.31 / $136.88	Professional		$60.89	$89.31	$136.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $24.85 / $37.89	Professional	26	$18.76	$24.85	$37.89
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 $516.91 / $516.91 / $614.40	Professional		$516.91	$516.91	$614.40
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 $88.95 / $106.74 / $132.36	Professional		$88.95	$106.74	$132.36
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.05 / $27.66 / $34.29	Professional	26	$23.05	$27.66	$34.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $71.93 / $107.76	Professional		$22.82	$71.93	$107.76
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 $63.90 / $93.09 / $149.82	Professional		$63.90	$93.09	$149.82
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $18.98 / $25.34 / $37.89	Professional	26	$18.98	$25.34	$37.89
United Facility/Professional Professional Modifier Low / Median / High Price $51.32 / $72.43 / $118.95	Professional		$51.32	$72.43	$118.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.41 / $20.52 / $32.49	Professional	26	$15.41	$20.52	$32.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $67.90 / $96.75	Professional		$60.73	$67.90	$96.75
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $15.74 / $18.07 / $25.07	Professional	26	$15.74	$18.07	$25.07