Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.29 / $29.62 / $49.50	Facility	26	$25.29	$29.62	$49.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.50 / $254.70 / $477.41	Professional		$194.50	$254.70	$477.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.13 / $206.13 / $206.13	Professional		$206.13	$206.13	$206.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $214.60 / $311.19	Professional		$34.09	$214.60	$311.19
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $163.00 / $181.00	Professional		$163.00	$163.00	$181.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.68 / $328.02 / $594.62	Professional		$223.68	$328.02	$594.62
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $188.58 / $188.58	Facility	26	$100.00	$188.58	$188.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,919.16 / $1,919.16 / $2,357.69	Professional		$1,919.16	$1,919.16	$2,357.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.66 / $447.25 / $676.15	Professional		$257.66	$447.25	$676.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $276.24 / $341.38	Professional		$41.84	$276.24	$341.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.60 / $335.79 / $605.71	Professional		$234.60	$335.79	$605.71
United Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $323.02 / $485.04	Professional		$255.10	$323.02	$485.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $231.34 / $257.66 / $368.25	Professional		$231.34	$257.66	$368.25