Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.17 / $17.00 / $20.65	Facility	26	$14.17	$17.00	$20.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.77 / $68.70 / $94.62	Professional		$60.77	$68.70	$94.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $48.82 / $90.03	Professional		$16.32	$48.82	$90.03
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $65.36 / $96.32	Professional		$62.14	$65.36	$96.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.92 / $20.92 / $20.92	Facility	26	$20.92	$20.92	$20.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $91.56 / $140.52	Professional		$67.23	$91.56	$140.52
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $42.94 / $100.00 / $100.00	Facility	26	$42.94	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $714.00 / $714.00 / $714.00	Professional		$714.00	$714.00	$714.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $91.03 / $117.04	Professional		$65.02	$91.03	$117.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $57.10 / $96.70	Professional		$18.77	$57.10	$96.70
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $20.92 / $20.92 / $20.92	Facility	26	$20.92	$20.92	$20.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.17 / $96.41 / $168.34	Professional		$69.17	$96.41	$168.34
United Facility/Professional Professional Modifier Low / Median / High Price $58.61 / $78.20 / $122.22	Professional		$58.61	$78.20	$122.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.49 / $62.14 / $88.24	Professional		$55.49	$62.14	$88.24