Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.78 / $82.81 / $127.95	Facility	26	$63.78	$82.81	$127.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.90 / $333.09 / $572.90	Professional		$246.90	$333.09	$572.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.04 / $267.04 / $267.04	Professional		$267.04	$267.04	$267.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.03 / $251.62 / $413.36	Professional		$97.03	$251.62	$413.36
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $316.08 / $347.69 / $431.00	Professional		$316.08	$347.69	$431.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.82 / $113.82 / $113.82	Facility	26	$113.82	$113.82	$113.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.16 / $434.85 / $765.55	Professional		$283.16	$434.85	$765.55
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $728.08 / $913.76 / $931.68	Facility	26	$728.08	$913.76	$931.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,291.23 / $2,291.23 / $2,857.28	Professional		$2,291.23	$2,291.23	$2,857.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $413.23 / $545.46 / $808.63	Professional		$413.23	$545.46	$808.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $292.04 / $581.95	Professional		$106.49	$292.04	$581.95
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $113.82 / $113.82 / $113.82	Facility	26	$113.82	$113.82	$113.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $294.89 / $463.16 / $921.14	Professional		$294.89	$463.16	$921.14
United Facility/Professional Professional Modifier Low / Median / High Price $335.29 / $563.36 / $961.53	Professional		$335.29	$563.36	$961.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $282.14 / $316.08 / $448.93	Professional		$282.14	$316.08	$448.93