Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.58 / $45.33 / $56.69	Facility	26	$38.58	$45.33	$56.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.71 / $111.07 / $163.07	Professional		$90.71	$111.07	$163.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.01 / $154.31 / $154.31	Professional		$72.01	$154.31	$154.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.08 / $79.45 / $148.24	Professional		$40.08	$79.45	$148.24
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $113.16 / $113.16 / $113.16	Professional		$113.16	$113.16	$113.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.93 / $136.72 / $226.27	Professional		$94.93	$136.72	$226.27
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $115.42 / $247.81 / $247.81	Facility	26	$115.42	$247.81	$247.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $803.29 / $803.29 / $918.75	Professional		$803.29	$803.29	$918.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.87 / $163.82 / $236.69	Professional		$102.87	$163.82	$236.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.87 / $88.84 / $188.47	Professional		$52.87	$88.84	$188.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.73 / $146.74 / $276.00	Professional		$97.73	$146.74	$276.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.40 / $122.70 / $197.18	Professional		$88.40	$122.70	$197.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.38 / $107.10 / $145.44	Professional		$91.38	$107.10	$145.44