Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.66 / $15.15 / $23.43	Facility	26	$11.66	$15.15	$23.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.39 / $82.63 / $163.97	Professional		$64.39	$82.63	$163.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.76 / $116.15 / $171.18	Professional		$70.76	$116.15	$171.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $66.39 / $104.00	Professional		$16.17	$66.39	$104.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $132.30 / $167.00	Professional		$82.00	$132.30	$167.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.81 / $20.81 / $20.81	Facility	26	$20.81	$20.81	$20.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.27 / $88.45 / $172.53	Professional		$64.27	$88.45	$172.53
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $49.08 / $100.00 / $100.00	Facility	26	$49.08	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $635.08 / $635.08 / $760.80	Professional		$635.08	$635.08	$760.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.15 / $131.49 / $223.85	Professional		$46.15	$131.49	$223.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $104.38 / $186.84	Professional		$26.24	$104.38	$186.84
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $20.81 / $20.81 / $20.81	Facility	26	$20.81	$20.81	$20.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $102.49 / $232.26	Professional		$65.02	$102.49	$232.26
United Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $87.09 / $140.87	Professional		$67.23	$87.09	$140.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $83.50 / $119.07	Professional		$74.81	$83.50	$119.07