Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.74 / $54.30 / $94.95	Facility	26	$49.74	$54.30	$94.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.85 / $278.04 / $522.98	Professional		$242.85	$278.04	$522.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $264.99 / $406.02	Professional		$89.05	$264.99	$406.02
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $331.76 / $331.76 / $331.76	Professional		$331.76	$331.76	$331.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.56 / $408.26 / $673.02	Professional		$296.56	$408.26	$673.02
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 $2,295.51 / $2,295.51 / $3,105.68	Professional		$2,295.51	$2,295.51	$3,105.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $312.45 / $589.76 / $809.38	Professional		$312.45	$589.76	$809.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.75 / $360.58 / $614.65	Professional		$86.75	$360.58	$614.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $296.56 / $408.26 / $711.20	Professional		$296.56	$408.26	$711.20
United Facility/Professional Professional Modifier Low / Median / High Price $310.20 / $458.34 / $575.97	Professional		$310.20	$458.34	$575.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $305.06 / $340.22 / $485.47	Professional		$305.06	$340.22	$485.47