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 / $31.82	Facility	26	$15.84	$20.72	$31.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.41 / $56.00 / $99.07	Professional		$41.41	$56.00	$99.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $46.01 / $72.14	Professional		$20.71	$46.01	$72.14
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $78.95 / $96.00	Professional		$58.49	$78.95	$96.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.28 / $28.28 / $28.28	Facility	26	$28.28	$28.28	$28.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.51 / $66.55 / $116.25	Professional		$45.51	$66.55	$116.25
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $78.53 / $120.03 / $120.03	Facility	26	$78.53	$120.03	$120.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $388.28 / $388.28 / $501.90	Professional		$388.28	$388.28	$501.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.29 / $87.33 / $137.81	Professional		$68.29	$87.33	$137.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $59.97 / $121.66	Professional		$31.76	$59.97	$121.66
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $28.28 / $28.28 / $28.28	Facility	26	$28.28	$28.28	$28.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $73.73 / $155.10	Professional		$47.57	$73.73	$155.10
United Facility/Professional Professional Modifier Low / Median / High Price $49.56 / $60.27 / $102.46	Professional		$49.56	$60.27	$102.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.69 / $55.96 / $78.95	Professional		$49.69	$55.96	$78.95