Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $46.77 / $52.48	Facility	26	$39.81	$46.77	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $95.50 / $162.18	Professional		$83.18	$95.50	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $114.82	Professional		$79.43	$79.43	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $72.44 / $109.65	Professional		$41.69	$72.44	$109.65
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $95.50	Professional		$83.18	$87.10	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $204.17	Professional		$87.10	$123.03	$204.17
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $331.13 / $331.13 / $331.13	Facility	26	$331.13	$331.13	$331.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $724.44	Professional		$588.84	$724.44	$724.44
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $46.77 / $52.48	Facility	26	$39.81	$46.77	$52.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $173.78	Professional		$81.28	$97.72	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.11 / $74.13	Professional		$30.90	$33.11	$74.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $104.71 / $208.93	Professional		$45.71	$104.71	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $204.17	Professional		$89.13	$125.89	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $165.96	Professional		$77.62	$104.71	$165.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $112.20	Professional		$67.61	$95.50	$112.20