Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.54 / $25.92 / $30.85	Facility	26	$21.54	$25.92	$30.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.31 / $172.19 / $220.69	Professional		$139.31	$172.19	$220.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $126.19 / $235.41	Professional		$22.22	$126.19	$235.41
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $149.65 / $219.40 / $300.72	Professional		$149.65	$219.40	$300.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.22 / $188.59 / $317.91	Professional		$105.22	$188.59	$317.91
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $76.12 / $133.66 / $133.66	Facility	26	$76.12	$133.66	$133.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,185.08 / $1,185.08 / $1,295.09	Professional		$1,185.08	$1,185.08	$1,295.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.55 / $228.38 / $358.98	Professional		$141.55	$228.38	$358.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $143.96 / $262.88	Professional		$28.93	$143.96	$262.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.34 / $206.98 / $428.77	Professional		$114.34	$206.98	$428.77
United Facility/Professional Professional Modifier Low / Median / High Price $106.91 / $149.68 / $237.29	Professional		$106.91	$149.68	$237.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.99 / $148.54 / $202.03	Professional		$126.99	$148.54	$202.03