Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.67 / $2,716.03 / $4,116.26	Professional		$167.67	$2,716.03	$4,116.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.38 / $2,854.49 / $5,773.63	Professional		$193.38	$2,854.49	$5,773.63
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3,168.95 / $4,377.17 / $5,865.62	Professional		$3,168.95	$4,377.17	$5,865.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.51 / $3,597.91 / $6,993.81	Professional		$238.51	$3,597.91	$6,993.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,964.37 / $27,106.76 / $29,285.40	Professional		$12,964.37	$27,106.76	$29,285.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $265.76 / $3,681.58 / $5,857.06	Professional		$265.76	$3,681.58	$5,857.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.89 / $4,436.53 / $7,384.50	Professional		$263.89	$4,436.53	$7,384.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.90 / $3,791.53 / $7,214.48	Professional		$243.90	$3,791.53	$7,214.48
United Facility/Professional Professional Modifier Low / Median / High Price $3,284.77 / $4,411.10 / $7,008.28	Professional		$3,284.77	$4,411.10	$7,008.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,856.47 / $3,168.95 / $4,545.52	Professional		$2,856.47	$3,168.95	$4,545.52