Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.21 / $81.48 / $100.66	Facility	26	$62.21	$81.48	$100.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.41 / $400.84 / $603.00	Professional		$252.41	$400.84	$603.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.99 / $225.00 / $391.41	Professional		$98.99	$225.00	$391.41
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $296.26 / $363.21 / $488.75	Professional		$296.26	$363.21	$488.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.80 / $86.80 / $86.80	Facility	26	$86.80	$86.80	$86.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.33 / $447.40 / $813.31	Professional		$266.33	$447.40	$813.31
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $551.52 / $694.56 / $710.88	Facility	26	$551.52	$694.56	$710.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,996.77 / $3,086.67 / $3,086.67	Professional		$2,996.77	$3,086.67	$3,086.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $388.16 / $512.37 / $766.74	Professional		$388.16	$512.37	$766.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $409.56 / $839.70 / $1,011.80	Professional		$409.56	$839.70	$1,011.80
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $86.80 / $86.80 / $86.80	Facility	26	$86.80	$86.80	$86.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $279.48 / $483.65 / $904.79	Professional		$279.48	$483.65	$904.79
United Facility/Professional Professional Modifier Low / Median / High Price $320.88 / $453.00 / $784.23	Professional		$320.88	$453.00	$784.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $265.02 / $296.26 / $421.86	Professional		$265.02	$296.26	$421.86