Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.70 / $48.71 / $83.16	Facility	26	$36.70	$48.71	$83.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.68 / $132.18 / $345.02	Professional		$98.68	$132.18	$345.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.98 / $111.98 / $134.09	Professional		$111.98	$111.98	$134.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $111.01 / $162.81	Professional		$49.43	$111.01	$162.81
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $158.63 / $192.75 / $247.00	Professional		$158.63	$192.75	$247.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.28 / $70.28 / $70.28	Facility	26	$70.28	$70.28	$70.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $149.00 / $278.45	Professional		$111.15	$149.00	$278.45
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $139.91 / $302.24 / $302.24	Facility	26	$139.91	$302.24	$302.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $936.67 / $936.67 / $1,460.93	Professional		$936.67	$936.67	$1,460.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.96 / $262.98 / $333.50	Professional		$125.96	$262.98	$333.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.53 / $176.06 / $295.76	Professional		$79.53	$176.06	$295.76
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $70.28 / $70.28 / $70.28	Facility	26	$70.28	$70.28	$70.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.96 / $152.47 / $328.75	Professional		$111.96	$152.47	$328.75
United Facility/Professional Professional Modifier Low / Median / High Price $113.99 / $142.88 / $221.88	Professional		$113.99	$142.88	$221.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $159.97 / $226.29	Professional		$142.72	$159.97	$226.29