Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.23 / $78.19 / $96.46	Facility	26	$65.23	$78.19	$96.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.40 / $152.32 / $204.40	Professional		$123.40	$152.32	$204.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $143.97 / $147.75	Professional		$137.84	$143.97	$147.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.53 / $121.27 / $200.45	Professional		$68.53	$121.27	$200.45
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $171.34 / $229.52	Professional		$137.84	$171.34	$229.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.97 / $196.92 / $295.02	Professional		$144.97	$196.92	$295.02
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $198.06 / $417.53 / $417.53	Facility	26	$198.06	$417.53	$417.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $956.27 / $956.27 / $1,216.95	Professional		$956.27	$956.27	$1,216.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.33 / $249.64 / $307.98	Professional		$167.33	$249.64	$307.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $116.43 / $250.18	Professional		$66.79	$116.43	$250.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $206.77 / $379.39	Professional		$149.38	$206.77	$379.39
United Facility/Professional Professional Modifier Low / Median / High Price $120.63 / $161.43 / $261.36	Professional		$120.63	$161.43	$261.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.75 / $142.78 / $193.66	Professional		$121.75	$142.78	$193.66