Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.84 / $20.72 / $32.22	Facility	26	$15.84	$20.72	$32.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $94.70 / $208.98	Professional		$71.39	$94.70	$208.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $72.59 / $111.64	Professional		$20.85	$72.59	$111.64
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $96.00 / $156.05	Professional		$96.00	$96.00	$156.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.00 / $29.00 / $29.00	Facility	26	$29.00	$29.00	$29.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $144.80 / $493.88	Professional		$84.67	$144.80	$493.88
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $277.13 / $277.13	Facility	26	$100.00	$277.13	$277.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,945.80 / $3,034.17 / $3,034.17	Professional		$2,945.80	$3,034.17	$3,034.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $127.76 / $168.65 / $408.84	Professional		$127.76	$168.65	$408.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $241.20 / $280.30 / $864.50	Professional		$241.20	$280.30	$864.50
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $29.00 / $29.00 / $29.00	Facility	26	$29.00	$29.00	$29.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $157.69 / $356.95	Professional		$87.98	$157.69	$356.95
United Facility/Professional Professional Modifier Low / Median / High Price $99.70 / $131.06 / $340.34	Professional		$99.70	$131.06	$340.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.23 / $97.53 / $138.71	Professional		$87.23	$97.53	$138.71