Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.59 / $19.98 / $36.53	Facility	26	$17.59	$19.98	$36.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.38 / $65.73 / $199.39	Professional		$49.38	$65.73	$199.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $82.26 / $94.67	Professional		$54.39	$82.26	$94.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $50.42 / $70.84	Professional		$22.37	$50.42	$70.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $79.98 / $150.04	Professional		$61.84	$79.98	$150.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.61 / $31.61 / $31.61	Facility	26	$31.61	$31.61	$31.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $73.81 / $152.43	Professional		$54.20	$73.81	$152.43
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $171.77 / $171.77	Facility	26	$100.00	$171.77	$171.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $542.40 / $542.40 / $572.10	Professional		$542.40	$542.40	$572.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.99 / $102.06 / $198.47	Professional		$63.99	$102.06	$198.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $48.25 / $112.24	Professional		$24.69	$48.25	$112.24
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $31.61 / $31.61 / $31.61	Facility	26	$31.61	$31.61	$31.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $75.94 / $162.57	Professional		$54.39	$75.94	$162.57
United Facility/Professional Professional Modifier Low / Median / High Price $58.05 / $78.45 / $123.84	Professional		$58.05	$78.45	$123.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $63.99 / $90.52	Professional		$56.87	$63.99	$90.52