Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.99 / $25.07 / $29.76	Facility	26	$20.99	$25.07	$29.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.02 / $153.66 / $193.99	Professional		$124.02	$153.66	$193.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $113.27 / $210.98	Professional		$24.30	$113.27	$210.98
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $142.59 / $314.62	Professional		$129.63	$142.59	$314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.96 / $175.67 / $299.33	Professional		$104.96	$175.67	$299.33
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $76.12 / $128.91 / $128.91	Facility	26	$76.12	$128.91	$128.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,025.66 / $1,025.66 / $1,183.58	Professional		$1,025.66	$1,025.66	$1,183.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.94 / $208.36 / $347.20	Professional		$130.94	$208.36	$347.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.92 / $129.83 / $237.97	Professional		$27.92	$129.83	$237.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.17 / $194.45 / $370.98	Professional		$111.17	$194.45	$370.98
United Facility/Professional Professional Modifier Low / Median / High Price $102.66 / $142.56 / $226.39	Professional		$102.66	$142.56	$226.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $135.97 / $184.94	Professional		$116.23	$135.97	$184.94