Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $40.74 / $45.71	Facility	26	$36.31	$40.74	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.91 / $512.86	Professional		$91.20	$147.91	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $158.49	Professional		$83.18	$107.15	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $89.13 / $123.03	Professional		$45.71	$89.13	$123.03
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $251.19	Professional		$102.33	$134.90	$251.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $63.10 / $91.20	Facility	26	$13.49	$63.10	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $239.88	Professional		$95.50	$128.82	$239.88
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	26	$354.81	$354.81	$354.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $933.25	Professional		$758.58	$933.25	$933.25
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $37.15 / $45.71	Facility	26	$36.31	$37.15	$45.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $389.05	Professional		$93.33	$154.88	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $102.33	Professional		$32.36	$48.98	$102.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $114.82 / $257.04	Professional		$56.23	$114.82	$257.04
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $63.10 / $91.20	Facility	26	$13.49	$63.10	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $257.04	Professional		$95.50	$125.89	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $199.53	Professional		$102.33	$128.82	$199.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $117.49 / $138.04	Professional		$112.20	$117.49	$138.04