Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $154.88	Professional		$52.48	$85.11	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $104.71	Professional		$66.07	$83.18	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $128.82	Professional		$70.79	$79.43	$128.82
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $162.18	Professional		$87.10	$114.82	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $169.82	Professional		$57.54	$89.13	$169.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $707.95 / $776.25	Professional		$186.21	$707.95	$776.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $199.53	Professional		$54.95	$97.72	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $77.62	Professional		$32.36	$33.11	$77.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $177.83	Professional		$117.49	$141.25	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $165.96	Professional		$57.54	$85.11	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $97.72 / $147.91	Professional		$58.88	$97.72	$147.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $93.33	Professional		$87.10	$87.10	$93.33