Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $79.95 / $105.94	Professional		$38.64	$79.95	$105.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $54.18 / $54.18	Professional		$54.18	$54.18	$54.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $64.78 / $99.28	Professional		$51.66	$64.78	$99.28
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $86.69 / $92.11	Professional		$62.31	$86.69	$92.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.59 / $73.66 / $147.03	Professional		$51.59	$73.66	$147.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $477.52 / $686.59 / $896.81	Professional		$477.52	$686.59	$896.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.88 / $91.26 / $118.52	Professional		$64.88	$91.26	$118.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $54.22 / $62.13	Professional		$51.82	$54.22	$62.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $83.19 / $166.56	Professional		$52.52	$83.19	$166.56
United Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $105.74 / $153.32	Professional		$77.03	$105.74	$153.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.21 / $54.18 / $74.66	Professional		$47.21	$54.18	$74.66