Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.77 / $82.23 / $101.57	Facility	26	$62.77	$82.23	$101.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $383.47 / $603.00	Professional		$250.00	$383.47	$603.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.95 / $175.95 / $265.66	Professional		$175.95	$175.95	$265.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $196.30 / $327.97	Professional		$65.63	$196.30	$327.97
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $251.36 / $276.50 / $321.00	Professional		$251.36	$276.50	$321.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.60 / $87.60 / $87.60	Facility	26	$87.60	$87.60	$87.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.81 / $427.63 / $875.34	Professional		$225.81	$427.63	$875.34
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $556.32 / $700.72 / $717.20	Facility	26	$556.32	$700.72	$717.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,348.15 / $3,448.60 / $3,448.60	Professional		$3,348.15	$3,448.60	$3,448.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $308.48 / $433.92 / $645.67	Professional		$308.48	$433.92	$645.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.78 / $228.14 / $404.15	Professional		$81.78	$228.14	$404.15
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $87.60 / $87.60 / $87.60	Facility	26	$87.60	$87.60	$87.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.39 / $468.65 / $860.50	Professional		$236.39	$468.65	$860.50
United Facility/Professional Professional Modifier Low / Median / High Price $267.50 / $409.11 / $796.77	Professional		$267.50	$409.11	$796.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $224.45 / $251.36 / $357.22	Professional		$224.45	$251.36	$357.22