Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $171.17 / $217.29 / $261.64	Facility	26	$171.17	$217.29	$261.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $706.72 / $941.46 / $1,401.14	Professional		$706.72	$941.46	$1,401.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.18 / $867.34 / $1,593.05	Professional		$244.18	$867.34	$1,593.05
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,301.14 / $1,301.14 / $1,451.00	Professional		$1,301.14	$1,301.14	$1,451.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,050.55 / $1,360.05 / $1,962.08	Professional		$1,050.55	$1,360.05	$1,962.08
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $2,007.36 / $2,442.64 / $2,506.64	Facility	26	$2,007.36	$2,442.64	$2,506.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,682.90 / $6,682.90 / $8,154.83	Professional		$6,682.90	$6,682.90	$8,154.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,213.16 / $1,399.80 / $1,679.76	Professional		$1,213.16	$1,399.80	$1,679.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $487.91 / $1,347.94 / $3,296.67	Professional		$487.91	$1,347.94	$3,296.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,042.63 / $1,401.66 / $2,048.31	Professional		$1,042.63	$1,401.66	$2,048.31
United Facility/Professional Professional Modifier Low / Median / High Price $847.27 / $1,110.74 / $1,788.72	Professional		$847.27	$1,110.74	$1,788.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $796.46 / $890.91 / $1,263.65	Professional		$796.46	$890.91	$1,263.65