Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.33 / $33.51 / $49.47	Professional		$21.33	$33.51	$49.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $33.86 / $47.71	Professional		$20.30	$33.86	$47.71
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $43.46 / $59.11	Professional		$38.25	$43.46	$59.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $42.02 / $69.73	Professional		$24.97	$42.02	$69.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $168.56 / $271.12 / $305.77	Professional		$168.56	$271.12	$305.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $43.84 / $66.77	Professional		$28.05	$43.84	$66.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $97.70 / $97.70	Professional		$97.70	$97.70	$97.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $46.85 / $82.14	Professional		$26.02	$46.85	$82.14
United Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $43.60 / $67.48	Professional		$31.50	$43.60	$67.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $35.94 / $48.72	Professional		$30.64	$35.94	$48.72