Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.26 / $59.05 / $73.44	Facility	26	$50.26	$59.05	$73.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.55 / $117.51 / $180.02	Professional		$99.55	$117.51	$180.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.30 / $66.08 / $93.19	Professional	26	$55.30	$66.08	$93.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.08 / $126.03 / $154.62	Professional		$103.08	$126.03	$154.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.38 / $62.86 / $71.38	Professional	26	$56.38	$62.86	$71.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $88.88 / $146.91	Professional		$51.40	$88.88	$146.91
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $107.44 / $128.93 / $178.46	Professional		$107.44	$128.93	$178.46
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $60.64 / $91.19 / $91.19	Professional	26	$60.64	$91.19	$91.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.55 / $145.86 / $227.27	Professional		$102.55	$145.86	$227.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.08 / $84.90 / $132.36	Professional	26	$64.08	$84.90	$132.36
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $149.97 / $321.77 / $321.77	Facility	26	$149.97	$321.77	$321.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $728.40 / $728.40 / $908.78	Professional		$728.40	$728.40	$908.78
Lucent Health Facility/Professional Professional Modifier 26 Low / Median / High Price $414.32 / $414.32 / $520.04	Professional	26	$414.32	$414.32	$520.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.08 / $186.80 / $318.60	Professional		$103.08	$186.80	$318.60
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $73.23 / $95.52 / $116.12	Professional	26	$73.23	$95.52	$116.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.85 / $88.98 / $188.02	Professional		$50.85	$88.98	$188.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.59 / $155.32 / $278.05	Professional		$106.59	$155.32	$278.05
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $64.26 / $87.88 / $132.36	Professional	26	$64.26	$87.88	$132.36
United Facility/Professional Professional Modifier Low / Median / High Price $99.24 / $130.36 / $209.23	Professional		$99.24	$130.36	$209.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.96 / $72.76 / $117.80	Professional	26	$53.96	$72.76	$117.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $106.90 / $145.04	Professional		$91.10	$106.90	$145.04
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $53.28 / $62.71 / $84.86	Professional	26	$53.28	$62.71	$84.86