Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.14 / $22.20 / $34.78	Facility	26	$17.14	$22.20	$34.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $47.07 / $137.76	Professional		$34.58	$47.07	$137.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.01 / $40.10 / $58.51	Professional		$36.01	$40.10	$58.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $37.56 / $54.82	Professional		$21.38	$37.56	$54.82
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $46.66 / $51.76 / $75.95	Professional		$46.66	$51.76	$75.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.10 / $30.10 / $30.10	Facility	26	$30.10	$30.10	$30.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.26 / $52.36 / $109.11	Professional		$38.26	$52.36	$109.11
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $85.90 / $129.25 / $129.25	Facility	26	$85.90	$129.25	$129.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $400.20 / $400.20	Professional		$396.00	$400.20	$400.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.01 / $69.87 / $112.68	Professional		$45.01	$69.87	$112.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $32.47 / $81.80	Professional		$16.50	$32.47	$81.80
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $30.10 / $30.10 / $30.10	Facility	26	$30.10	$30.10	$30.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $54.15 / $118.95	Professional		$38.46	$54.15	$118.95
United Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $55.70 / $87.55	Professional		$41.63	$55.70	$87.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $45.01 / $63.30	Professional		$39.75	$45.01	$63.30