Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.45 / $120.87 / $302.29	Professional		$88.45	$120.87	$302.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $125.88 / $192.50	Professional		$91.84	$125.88	$192.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.55 / $124.67 / $195.47	Professional		$112.55	$124.67	$195.47
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $137.50 / $165.00 / $218.87	Professional		$137.50	$165.00	$218.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $153.63 / $239.95	Professional		$101.10	$153.63	$239.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $832.84 / $832.84 / $1,291.95	Professional		$832.84	$832.84	$1,291.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $240.17 / $294.67	Professional		$138.66	$240.17	$294.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $189.68 / $298.95	Professional		$148.56	$189.68	$298.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $155.50 / $264.00	Professional		$101.10	$155.50	$264.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.02 / $152.00 / $215.34	Professional		$102.02	$152.00	$215.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $137.50 / $196.98	Professional		$124.23	$137.50	$196.98