Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.50 / $54.05 / $94.95	Facility	26	$49.50	$54.05	$94.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.84 / $192.38 / $474.63	Professional		$162.84	$192.38	$474.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $321.83 / $321.83 / $321.83	Professional		$321.83	$321.83	$321.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.78 / $176.10 / $289.39	Professional		$91.78	$176.10	$289.39
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $229.88 / $267.58 / $369.84	Professional		$229.88	$267.58	$369.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.56 / $249.56 / $408.53	Professional		$175.56	$249.56	$408.53
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $172.46 / $370.69 / $370.69	Facility	26	$172.46	$370.69	$370.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,533.47 / $1,533.47 / $2,080.94	Professional		$1,533.47	$1,533.47	$2,080.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.88 / $397.09 / $541.38	Professional		$229.88	$397.09	$541.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $226.66 / $398.82	Professional		$86.90	$226.66	$398.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.47 / $255.21 / $437.51	Professional		$172.47	$255.21	$437.51
United Facility/Professional Professional Modifier Low / Median / High Price $171.76 / $247.27 / $349.77	Professional		$171.76	$247.27	$349.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $205.40 / $229.88 / $326.89	Professional		$205.40	$229.88	$326.89