Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $21.88 / $38.02	Facility	26	$16.98	$21.88	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $151.36	Professional		$35.48	$50.12	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $67.61	Professional		$36.31	$44.67	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $39.81 / $54.95	Professional		$21.38	$39.81	$54.95
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $52.48 / $104.71	Professional		$46.77	$52.48	$104.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.46 / $29.51 / $42.66	Facility	26	$6.46	$29.51	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $114.82	Professional		$39.81	$56.23	$114.82
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $169.82 / $169.82	Facility	26	$169.82	$169.82	$169.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $19.05 / $38.02	Facility	26	$16.98	$19.05	$38.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $138.04	Professional		$38.02	$60.26	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $42.66	Professional		$19.95	$32.36	$42.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $48.98 / $102.33	Professional		$23.44	$48.98	$102.33
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $6.46 / $29.51 / $42.66	Facility	26	$6.46	$29.51	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $114.82	Professional		$39.81	$53.70	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $56.23 / $91.20	Professional		$42.66	$56.23	$91.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $50.12 / $58.88	Professional		$47.86	$50.12	$58.88