Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.89 / $13.00 / $16.07	Facility	26	$10.89	$13.00	$16.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.78 / $50.58 / $70.29	Professional		$44.78	$50.58	$70.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $39.06 / $65.93	Professional		$12.39	$39.06	$65.93
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $47.01 / $49.47 / $72.87	Professional		$47.01	$49.47	$72.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.90 / $15.90 / $15.90	Facility	26	$15.90	$15.90	$15.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.69 / $66.95 / $103.52	Professional		$49.69	$66.95	$103.52
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $33.53 / $100.00 / $100.00	Facility	26	$33.53	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Professional		$500.00	$500.00	$500.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.17 / $68.84 / $88.51	Professional		$49.17	$68.84	$88.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $42.80 / $72.13	Professional		$14.57	$42.80	$72.13
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $15.90 / $15.90 / $15.90	Facility	26	$15.90	$15.90	$15.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $70.54 / $125.33	Professional		$51.33	$70.54	$125.33
United Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $57.04 / $88.56	Professional		$42.90	$57.04	$88.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.97 / $47.01 / $66.78	Professional		$41.97	$47.01	$66.78