Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $251.19 / $263.03	Facility	26	$169.82	$251.19	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,737.80	Professional		$831.76	$1,071.52	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $851.14 / $1,548.82	Professional		$257.04	$851.14	$1,548.82
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,445.44	Professional		$1,380.38	$1,380.38	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $1,949.84	Professional		$1,047.13	$1,348.96	$1,949.84
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility	26	$2,454.71	$2,454.71	$2,454.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $8,128.31 / $8,128.31	Professional		$6,606.93	$8,128.31	$8,128.31
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $251.19 / $263.03	Facility	26	$169.82	$251.19	$263.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,380.38 / $2,630.27	Professional		$851.14	$1,380.38	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $707.95	Professional		$32.36	$33.11	$707.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $2,570.40 / $3,630.78	Professional		$977.24	$2,570.40	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,949.84	Professional		$1,000.00	$1,348.96	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,778.28	Professional		$851.14	$1,122.02	$1,778.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,000.00	Professional		$933.25	$933.25	$1,000.00