Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $47.86 / $52.48	Facility	26	$39.81	$47.86	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $288.40	Professional		$169.82	$199.53	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $131.83 / $223.87	Professional		$42.66	$131.83	$223.87
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $316.23	Professional		$177.83	$229.09	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $426.58	Professional		$158.49	$251.19	$426.58
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 $1,318.26 / $1,513.56 / $1,513.56	Professional		$1,318.26	$1,513.56	$1,513.56
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $47.86 / $52.48	Facility	26	$39.81	$47.86	$52.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $354.81	Professional		$173.78	$208.93	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $218.78 / $588.84	Professional		$93.33	$218.78	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $446.68	Professional		$165.96	$251.19	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $331.13	Professional		$154.88	$213.80	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $234.42	Professional		$151.36	$199.53	$234.42