Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.75 / $30.87 / $47.69	Facility	26	$23.75	$30.87	$47.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.62 / $247.06 / $450.09	Professional		$192.62	$247.06	$450.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.26 / $212.98 / $303.00	Professional		$30.26	$212.98	$303.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.16 / $330.41 / $609.37	Professional		$220.16	$330.41	$609.37
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $180.12 / $180.12	Facility	26	$100.00	$180.12	$180.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,900.36 / $1,900.36 / $2,323.58	Professional		$1,900.36	$1,900.36	$2,323.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $253.58 / $440.32 / $669.28	Professional		$253.58	$440.32	$669.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $277.31 / $322.19	Professional		$42.22	$277.31	$322.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.77 / $348.73 / $622.51	Professional		$230.77	$348.73	$622.51
United Facility/Professional Professional Modifier Low / Median / High Price $257.82 / $322.27 / $498.32	Professional		$257.82	$322.27	$498.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $227.76 / $253.58 / $362.46	Professional		$227.76	$253.58	$362.46