Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $38.02 / $64.57	Facility	26	$32.36	$38.02	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $138.04 / $398.11	Professional		$87.10	$138.04	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $154.88	Professional		$83.18	$109.65	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $91.20 / $125.89	Professional		$40.74	$91.20	$125.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $213.80	Professional		$107.15	$154.88	$213.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $56.23 / $81.28	Facility	26	$12.02	$56.23	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $234.42	Professional		$95.50	$128.82	$234.42
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	26	$316.23	$316.23	$316.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $741.31 / $977.24	Professional		$144.54	$741.31	$977.24
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $38.02 / $64.57	Facility	26	$32.36	$38.02	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $323.59	Professional		$89.13	$151.36	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $104.71	Professional		$32.36	$45.71	$104.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $117.49 / $263.03	Professional		$52.48	$117.49	$263.03
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $56.23 / $81.28	Facility	26	$12.02	$56.23	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $251.19	Professional		$95.50	$125.89	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $194.98	Professional		$100.00	$128.82	$194.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $123.03 / $147.91	Professional		$117.49	$123.03	$147.91