Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $57.61 / $93.80	Professional		$40.69	$57.61	$93.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $58.45 / $58.45	Professional		$58.45	$58.45	$58.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $58.17 / $86.84	Professional		$41.15	$58.17	$86.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $54.81 / $70.75 / $114.65	Professional		$54.81	$70.75	$114.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.09 / $73.78 / $118.31	Professional		$49.09	$73.78	$118.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $325.12 / $470.64 / $554.10	Professional		$325.12	$470.64	$554.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $79.65 / $113.74	Professional		$54.99	$79.65	$113.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.23 / $78.90 / $146.18	Professional		$48.23	$78.90	$146.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $77.62 / $123.05	Professional		$49.91	$77.62	$123.05
United Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $68.95 / $109.42	Professional		$51.30	$68.95	$109.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $61.52 / $86.02	Professional		$54.38	$61.52	$86.02