Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.24 / $56.56 / $90.92	Facility	26	$43.24	$56.56	$90.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.58 / $123.66 / $214.90	Professional		$91.58	$123.66	$214.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.97 / $86.97 / $86.97	Professional		$86.97	$86.97	$86.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.37 / $112.95 / $173.88	Professional		$59.37	$112.95	$173.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $193.86 / $193.86 / $193.86	Professional		$193.86	$193.86	$193.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.58 / $78.58 / $78.58	Facility	26	$78.58	$78.58	$78.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $144.82 / $273.81	Professional		$104.35	$144.82	$273.81
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $160.79 / $329.60 / $329.60	Facility	26	$160.79	$329.60	$329.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,209.00 / $1,209.00 / $1,209.00	Professional		$1,209.00	$1,209.00	$1,209.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $212.42 / $303.80	Professional		$147.22	$212.42	$303.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.55 / $113.36 / $248.81	Professional		$43.55	$113.36	$248.81
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $78.58 / $78.58 / $78.58	Facility	26	$78.58	$78.58	$78.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.61 / $163.34 / $346.26	Professional		$105.61	$163.34	$346.26
United Facility/Professional Professional Modifier Low / Median / High Price $109.21 / $134.91 / $218.42	Professional		$109.21	$134.91	$218.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.88 / $124.24 / $174.47	Professional		$109.88	$124.24	$174.47