Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.35 / $142.37 / $170.46	Facility	26	$90.35	$142.37	$170.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $386.51 / $600.00	Professional		$250.00	$386.51	$600.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.98 / $266.98 / $266.98	Professional		$266.98	$266.98	$266.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.53 / $221.89 / $371.49	Professional		$98.53	$221.89	$371.49
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $274.06 / $287.67 / $466.47	Professional		$274.06	$287.67	$466.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.25 / $392.27 / $769.62	Professional		$234.25	$392.27	$769.62
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $800.32 / $1,008.32 / $1,031.35	Facility	26	$800.32	$1,008.32	$1,031.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,148.28 / $3,148.28 / $3,148.28	Professional		$3,148.28	$3,148.28	$3,148.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $216.14 / $408.54 / $672.34	Professional		$216.14	$408.54	$672.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.94 / $221.91 / $440.94	Professional		$128.94	$221.91	$440.94
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $246.74 / $424.29 / $793.38	Professional		$246.74	$424.29	$793.38
United Facility/Professional Professional Modifier Low / Median / High Price $276.39 / $390.20 / $705.05	Professional		$276.39	$390.20	$705.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $232.45 / $261.52 / $369.98	Professional		$232.45	$261.52	$369.98