Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $302.00	Professional		$89.13	$131.83	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $190.55	Professional		$95.50	$138.04	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $208.93	Professional		$123.03	$134.90	$208.93
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $239.88	Professional		$144.54	$173.78	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $251.19	Professional		$107.15	$154.88	$251.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $1,288.25	Professional		$831.76	$1,288.25	$1,288.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $181.97 / $489.78	Professional		$89.13	$181.97	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $295.12	Professional		$181.97	$229.09	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $257.04	Professional		$100.00	$154.88	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $218.78	Professional		$107.15	$158.49	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $151.36	Professional		$144.54	$144.54	$151.36