Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.51 / $46.06 / $71.14	Facility	26	$35.51	$46.06	$71.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.47 / $286.47 / $548.37	Professional		$219.47	$286.47	$548.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.24 / $234.24 / $234.24	Professional		$234.24	$234.24	$234.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.94 / $252.02 / $351.17	Professional		$45.94	$252.02	$351.17
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $232.00 / $258.00	Professional		$232.00	$232.00	$258.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.90 / $353.63 / $664.10	Professional		$251.90	$353.63	$664.10
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $131.08 / $268.95 / $268.95	Facility	26	$131.08	$268.95	$268.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,164.91 / $2,164.91 / $2,672.55	Professional		$2,164.91	$2,164.91	$2,672.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $292.80 / $507.57 / $762.94	Professional		$292.80	$507.57	$762.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.04 / $507.80 / $974.08	Professional		$97.04	$507.80	$974.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $256.61 / $356.49 / $678.31	Professional		$256.61	$356.49	$678.31
United Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $364.20 / $575.40	Professional		$255.10	$364.20	$575.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $262.54 / $292.80 / $417.83	Professional		$262.54	$292.80	$417.83