Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.54 / $23.69 / $44.10	Facility	26	$21.54	$23.69	$44.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.22 / $88.16 / $287.39	Professional		$65.22	$88.16	$287.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.88 / $99.59 / $146.76	Professional		$84.88	$99.59	$146.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $62.25 / $92.26	Professional		$27.01	$62.25	$92.26
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $77.55 / $100.08 / $146.58	Professional		$77.55	$100.08	$146.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.15 / $38.15 / $38.15	Facility	26	$38.15	$38.15	$38.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $95.28 / $180.36	Professional		$70.56	$95.28	$180.36
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $78.81 / $163.72 / $163.72	Facility	26	$78.81	$163.72	$163.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $579.01 / $596.38 / $730.35	Professional		$579.01	$596.38	$730.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $127.61 / $340.28	Professional		$58.36	$127.61	$340.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $60.99 / $144.21	Professional		$31.50	$60.99	$144.21
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $38.15 / $38.15 / $38.15	Facility	26	$38.15	$38.15	$38.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $98.34 / $199.50	Professional		$71.48	$98.34	$199.50
United Facility/Professional Professional Modifier Low / Median / High Price $74.54 / $99.25 / $149.63	Professional		$74.54	$99.25	$149.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $81.63 / $115.60	Professional		$72.59	$81.63	$115.60