Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.21 / $28.90 / $45.91	Facility	26	$22.21	$28.90	$45.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.62 / $188.26 / $348.00	Professional		$146.62	$188.26	$348.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $163.30 / $230.81	Professional		$28.34	$163.30	$230.81
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $245.76 / $245.76 / $245.76	Professional		$245.76	$245.76	$245.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.20 / $235.95 / $451.30	Professional		$169.20	$235.95	$451.30
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $168.58 / $168.58	Facility	26	$100.00	$168.58	$168.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,447.02 / $1,447.02 / $1,798.95	Professional		$1,447.02	$1,447.02	$1,798.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $196.61 / $341.04 / $510.16	Professional		$196.61	$341.04	$510.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.80 / $250.36 / $437.52	Professional		$56.80	$250.36	$437.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.77 / $238.31 / $459.76	Professional		$175.77	$238.31	$459.76
United Facility/Professional Professional Modifier Low / Median / High Price $169.75 / $225.33 / $366.50	Professional		$169.75	$225.33	$366.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $176.40 / $196.61 / $280.67	Professional		$176.40	$196.61	$280.67