Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.32 / $41.85 / $64.41	Facility	26	$32.32	$41.85	$64.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $119.52 / $300.63	Professional		$78.79	$119.52	$300.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.47 / $116.68 / $195.77	Professional		$77.47	$116.68	$195.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $86.33 / $120.83	Professional		$40.92	$86.33	$120.83
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $105.14 / $138.34 / $221.34	Professional		$105.14	$138.34	$221.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.04 / $57.04 / $57.04	Facility	26	$57.04	$57.04	$57.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.98 / $122.36 / $227.92	Professional		$92.98	$122.36	$227.92
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $118.21 / $245.43 / $245.43	Facility	26	$118.21	$245.43	$245.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $735.51 / $735.51 / $987.23	Professional		$735.51	$735.51	$987.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.67 / $156.55 / $260.41	Professional		$110.67	$156.55	$260.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $82.34 / $193.67	Professional		$42.48	$82.34	$193.67
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $57.04 / $57.04 / $57.04	Facility	26	$57.04	$57.04	$57.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.07 / $126.28 / $261.17	Professional		$94.07	$126.28	$261.17
United Facility/Professional Professional Modifier Low / Median / High Price $96.18 / $129.79 / $191.82	Professional		$96.18	$129.79	$191.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $110.67 / $156.44	Professional		$98.28	$110.67	$156.44