Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.15 / $47.17 / $58.97	Facility	26	$40.15	$47.17	$58.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $93.84 / $128.21	Professional		$77.48	$93.84	$128.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.59 / $107.59 / $137.00	Professional		$107.59	$107.59	$137.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.23 / $71.48 / $118.15	Professional		$41.23	$71.48	$118.15
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $125.05 / $125.05 / $209.89	Professional		$125.05	$125.05	$209.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.08 / $117.55 / $184.31	Professional		$86.08	$117.55	$184.31
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $120.14 / $257.88 / $257.88	Facility	26	$120.14	$257.88	$257.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $584.30 / $584.30 / $731.03	Professional		$584.30	$584.30	$731.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.76 / $150.01 / $194.60	Professional		$82.76	$150.01	$194.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $70.36 / $150.41	Professional		$40.40	$70.36	$150.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.31 / $124.66 / $222.52	Professional		$87.31	$124.66	$222.52
United Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $102.93 / $166.26	Professional		$78.20	$102.93	$166.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $85.81 / $116.42	Professional		$73.16	$85.81	$116.42