Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.27 / $39.00 / $71.31	Facility	26	$36.27	$39.00	$71.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.41 / $125.23 / $486.49	Professional		$83.41	$125.23	$486.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $116.80 / $190.78	Professional		$84.81	$116.80	$190.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $89.88 / $124.48	Professional		$45.83	$89.88	$124.48
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $94.61 / $127.21 / $249.14	Professional		$94.61	$127.21	$249.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.00 / $64.00 / $64.00	Facility	26	$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.05 / $124.56 / $233.63	Professional		$93.05	$124.56	$233.63
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $132.41 / $274.64 / $274.64	Facility	26	$132.41	$274.64	$274.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $759.56 / $759.56 / $937.58	Professional		$759.56	$759.56	$937.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $126.48 / $175.97 / $344.70	Professional		$126.48	$175.97	$344.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $75.55 / $193.78	Professional		$36.69	$75.55	$193.78
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $64.00 / $64.00 / $64.00	Facility	26	$64.00	$64.00	$64.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.57 / $128.08 / $261.11	Professional		$94.57	$128.08	$261.11
United Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $129.60 / $193.88	Professional		$98.74	$129.60	$193.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.86 / $106.01 / $149.49	Professional		$93.86	$106.01	$149.49