Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.36 / $33.29 / $41.48	Facility	26	$28.36	$33.29	$41.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.54 / $84.46 / $116.01	Professional		$68.54	$84.46	$116.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.54 / $37.06 / $50.96	Professional	26	$31.54	$37.06	$50.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $91.78 / $102.60	Professional		$59.95	$91.78	$102.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.49 / $33.49 / $33.49	Professional	26	$33.49	$33.49	$33.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $59.30 / $110.63	Professional		$29.18	$59.30	$110.63
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $83.42 / $106.18 / $140.30	Professional		$83.42	$106.18	$140.30
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $34.25 / $34.54 / $36.49	Professional	26	$34.25	$34.54	$36.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $103.75 / $161.18	Professional		$78.81	$103.75	$161.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.29 / $46.84 / $74.05	Professional	26	$35.29	$46.84	$74.05
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $84.60 / $181.07 / $181.07	Facility	26	$84.60	$181.07	$181.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $553.27 / $553.27 / $676.35	Professional		$553.27	$553.27	$676.35
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $234.24 / $234.24 / $294.52	Professional	26	$234.24	$234.24	$294.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $120.76 / $179.44	Professional		$75.84	$120.76	$179.44
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $41.36 / $56.77 / $65.58	Professional	26	$41.36	$56.77	$65.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $66.08 / $139.02	Professional		$38.69	$66.08	$139.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $111.37 / $203.69	Professional		$79.81	$111.37	$203.69
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $35.82 / $47.02 / $73.03	Professional	26	$35.82	$47.02	$73.03
United Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $90.95 / $145.47	Professional		$67.20	$90.95	$145.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.94 / $40.93 / $66.27	Professional	26	$30.94	$40.93	$66.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $78.97 / $107.24	Professional		$67.36	$78.97	$107.24
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $30.09 / $35.39 / $47.88	Professional	26	$30.09	$35.39	$47.88