Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $144.54 / $190.55	Facility	26	$114.82	$144.54	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $724.44	Professional		$269.15	$426.58	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $223.87 / $346.74	Professional		$97.72	$223.87	$346.74
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $436.52	Professional		$263.03	$331.13	$436.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $125.89 / $177.83	Facility	26	$26.92	$125.89	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $812.83	Professional		$251.19	$398.11	$812.83
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility	26	$1,000.00	$1,000.00	$1,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $144.54 / $190.55	Facility	26	$89.13	$144.54	$190.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $478.63 / $891.25	Professional		$288.40	$478.63	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $229.09	Professional		$32.36	$33.11	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $741.31 / $851.14	Professional		$501.19	$741.31	$851.14
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $125.89 / $177.83	Facility	26	$26.92	$125.89	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $776.25	Professional		$263.03	$407.38	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $707.95	Professional		$275.42	$389.05	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $281.84 / $338.84	Professional		$269.15	$281.84	$338.84