Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.26 / $23.82 / $37.42	Facility	26	$18.26	$23.82	$37.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.62 / $82.73 / $158.58	Professional		$59.62	$82.73	$158.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $74.36 / $95.59	Professional		$23.19	$74.36	$95.59
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $89.60 / $99.56 / $103.15	Professional		$89.60	$99.56	$103.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.78 / $32.78 / $32.78	Facility	26	$32.78	$32.78	$32.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $90.98 / $158.56	Professional		$56.79	$90.98	$158.56
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $66.65 / $127.16 / $137.75	Facility	26	$66.65	$127.16	$137.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $681.03 / $681.03 / $861.30	Professional		$681.03	$681.03	$861.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.82 / $134.50 / $174.35	Professional		$97.82	$134.50	$174.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $59.73 / $147.94	Professional		$18.32	$59.73	$147.94
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $32.78 / $32.78 / $32.78	Facility	26	$32.78	$32.78	$32.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.93 / $95.01 / $185.43	Professional		$59.93	$95.01	$185.43
United Facility/Professional Professional Modifier Low / Median / High Price $60.14 / $86.44 / $120.74	Professional		$60.14	$86.44	$120.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $95.20 / $135.31	Professional		$85.03	$95.20	$135.31