Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.22 / $23.91 / $43.81	Facility	26	$22.22	$23.91	$43.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.55 / $119.28 / $357.08	Professional		$81.55	$119.28	$357.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $118.51 / $191.74	Professional		$74.06	$118.51	$191.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.83 / $81.69 / $115.50	Professional		$27.83	$81.69	$115.50
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $100.19 / $122.45 / $189.82	Professional		$100.19	$122.45	$189.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.29 / $39.29 / $39.29	Facility	26	$39.29	$39.29	$39.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $119.75 / $225.10	Professional		$91.28	$119.75	$225.10
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $168.77 / $168.77	Facility	26	$100.00	$168.77	$168.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $756.60 / $756.60 / $954.53	Professional		$756.60	$756.60	$954.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.10 / $165.95 / $227.50	Professional		$109.10	$165.95	$227.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $93.55 / $211.01	Professional		$33.35	$93.55	$211.01
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $39.29 / $39.29 / $39.29	Facility	26	$39.29	$39.29	$39.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.67 / $125.07 / $254.48	Professional		$92.67	$125.07	$254.48
United Facility/Professional Professional Modifier Low / Median / High Price $97.01 / $125.87 / $194.02	Professional		$97.01	$125.87	$194.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.42 / $105.81 / $150.28	Professional		$94.42	$105.81	$150.28