Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $19.95 / $40.74	Facility	26	$18.20	$19.95	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $190.55	Professional		$58.88	$91.20	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $158.49	Professional		$66.07	$89.13	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $77.62 / $93.33	Professional		$21.88	$77.62	$93.33
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $91.20 / $173.78	Professional		$56.23	$91.20	$173.78
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	26	$181.97	$181.97	$181.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $870.96	Professional		$676.08	$870.96	$870.96
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $19.95 / $40.74	Facility	26	$18.20	$19.95	$40.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $208.93	Professional		$67.61	$123.03	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $87.10	Professional		$23.44	$33.11	$87.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $165.96	Professional		$104.71	$104.71	$165.96
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $6.92 / $32.36 / $45.71	Facility	26	$6.92	$32.36	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $177.83	Professional		$56.23	$93.33	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $117.49	Professional		$61.66	$87.10	$117.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $104.71	Professional		$100.00	$104.71	$104.71