Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.70 / $17.61 / $22.06	Facility	26	$14.70	$17.61	$22.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.97 / $83.34 / $114.69	Professional		$64.97	$83.34	$114.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $59.06 / $110.18	Professional		$15.68	$59.06	$110.18
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $97.35 / $129.44	Professional		$77.54	$97.35	$129.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.29 / $97.12 / $161.91	Professional		$55.29	$97.12	$161.91
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $46.52 / $126.65 / $126.65	Facility	26	$46.52	$126.65	$126.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $554.82 / $554.82 / $673.43	Professional		$554.82	$554.82	$673.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $135.85 / $195.69	Professional		$64.00	$135.85	$195.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $74.72 / $137.58	Professional		$20.89	$74.72	$137.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $108.10 / $200.72	Professional		$65.56	$108.10	$200.72
United Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $86.26 / $143.36	Professional		$52.82	$86.26	$143.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $77.54 / $105.44	Professional		$66.25	$77.54	$105.44