Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.38 / $56.61 / $68.89	Facility	26	$47.38	$56.61	$68.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.35 / $136.10 / $190.30	Professional		$108.35	$136.10	$190.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $98.68 / $184.08	Professional		$48.45	$98.68	$184.08
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $122.09 / $156.66 / $206.48	Professional		$122.09	$156.66	$206.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.75 / $160.24 / $268.29	Professional		$101.75	$160.24	$268.29
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $143.78 / $301.39 / $301.39	Facility	26	$143.78	$301.39	$301.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,037.78 / $1,240.15 / $1,240.15	Professional		$1,037.78	$1,240.15	$1,240.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $116.71 / $212.28 / $297.50	Professional		$116.71	$212.28	$297.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $104.42 / $218.59	Professional		$61.74	$104.42	$218.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.11 / $175.06 / $338.13	Professional		$108.11	$175.06	$338.13
United Facility/Professional Professional Modifier Low / Median / High Price $101.71 / $144.36 / $224.34	Professional		$101.71	$144.36	$224.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.53 / $121.40 / $164.82	Professional		$103.53	$121.40	$164.82