Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $189.87 / $234.17 / $359.60	Facility	54	$189.87	$234.17	$359.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.52 / $315.85 / $539.47	Professional		$257.52	$315.85	$539.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.10 / $354.54 / $515.95	Professional		$280.10	$354.54	$515.95
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $474.54 / $576.87	Professional		$360.00	$474.54	$576.87
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $357.43 / $357.43 / $357.43	Facility	54	$357.43	$357.43	$357.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.92 / $403.38 / $615.66	Professional		$303.92	$403.38	$615.66
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $989.74 / $1,118.17 / $1,118.17	Facility	54	$989.74	$1,118.17	$1,118.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,220.71 / $2,554.08 / $2,979.75	Professional		$2,220.71	$2,554.08	$2,979.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $392.07 / $477.30 / $608.55	Professional		$392.07	$477.30	$608.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $362.51 / $495.29 / $803.73	Professional		$362.51	$495.29	$803.73
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $357.43 / $357.43 / $644.33	Facility	54	$357.43	$357.43	$644.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $311.11 / $424.31 / $656.85	Professional		$311.11	$424.31	$656.85
United Facility/Professional Professional Modifier Low / Median / High Price $255.24 / $341.53 / $527.50	Professional		$255.24	$341.53	$527.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $290.97 / $327.27 / $460.59	Professional		$290.97	$327.27	$460.59