Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.79 / $109.62 / $164.95	Facility	26	$80.79	$109.62	$164.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $598.88 / $765.51 / $1,271.21	Professional		$598.88	$765.51	$1,271.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.75 / $693.28 / $1,335.71	Professional		$115.75	$693.28	$1,335.71
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $714.00 / $714.00 / $714.00	Professional		$714.00	$714.00	$714.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $837.06 / $1,093.66 / $1,542.56	Professional		$837.06	$1,093.66	$1,542.56
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $944.64 / $1,152.80 / $1,180.80	Facility	26	$944.64	$1,152.80	$1,180.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,824.33 / $5,824.33 / $6,926.85	Professional		$5,824.33	$5,824.33	$6,926.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $753.13 / $1,188.74 / $1,426.48	Professional		$753.13	$1,188.74	$1,426.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $755.17 / $1,080.70	Professional		$133.44	$755.17	$1,080.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.30 / $1,111.93 / $1,696.59	Professional		$812.30	$1,111.93	$1,696.59
United Facility/Professional Professional Modifier Low / Median / High Price $660.02 / $863.99 / $1,415.60	Professional		$660.02	$863.99	$1,415.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.37 / $753.13 / $1,075.06	Professional		$676.37	$753.13	$1,075.06