Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.08 / $71.18 / $124.44	Facility	26	$65.08	$71.18	$124.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.11 / $252.50 / $535.37	Professional		$218.11	$252.50	$535.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $423.46 / $423.46 / $423.46	Professional		$423.46	$423.46	$423.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.72 / $250.35 / $390.51	Professional		$124.72	$250.35	$390.51
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $302.47 / $362.96 / $486.42	Professional		$302.47	$362.96	$486.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.75 / $328.38 / $535.90	Professional		$231.75	$328.38	$535.90
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $225.81 / $485.69 / $485.69	Facility	26	$225.81	$485.69	$485.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,025.59 / $2,025.59 / $2,738.70	Professional		$2,025.59	$2,025.59	$2,738.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.47 / $522.51 / $715.73	Professional		$302.47	$522.51	$715.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $294.68 / $523.28	Professional		$113.63	$294.68	$523.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $225.39 / $335.84 / $575.73	Professional		$225.39	$335.84	$575.73
United Facility/Professional Professional Modifier Low / Median / High Price $223.63 / $323.52 / $458.61	Professional		$223.63	$323.52	$458.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $270.27 / $302.47 / $430.14	Professional		$270.27	$302.47	$430.14