Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.97 / $31.15 / $48.18	Facility	26	$23.97	$31.15	$48.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $86.17 / $132.44	Professional		$66.81	$86.17	$132.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $67.22 / $87.41	Professional		$30.10	$67.22	$87.41
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $79.16 / $139.00 / $139.00	Professional		$79.16	$139.00	$139.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.40 / $43.40 / $43.40	Facility	26	$43.40	$43.40	$43.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $104.61 / $194.58	Professional		$75.59	$104.61	$194.58
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $89.32 / $182.21 / $182.21	Facility	26	$89.32	$182.21	$182.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $767.00 / $767.00 / $787.35	Professional		$767.00	$767.00	$787.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.96 / $130.72 / $202.90	Professional		$87.96	$130.72	$202.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $97.59 / $254.20	Professional		$37.51	$97.59	$254.20
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $43.40 / $43.40 / $43.40	Facility	26	$43.40	$43.40	$43.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $112.38 / $241.96	Professional		$78.95	$112.38	$241.96
United Facility/Professional Professional Modifier Low / Median / High Price $82.82 / $101.23 / $143.69	Professional		$82.82	$101.23	$143.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.13 / $91.52 / $124.25	Professional		$78.13	$91.52	$124.25