Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $5,623.41	Professional		$758.58	$1,148.15	$5,623.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $1,288.25	Professional		$630.96	$954.99	$1,288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $870.96 / $1,412.54	Professional		$812.83	$870.96	$1,412.54
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,548.82	Professional		$933.25	$1,122.02	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $954.99 / $2,344.23	Professional		$891.25	$954.99	$2,344.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Professional		$9,120.11	$9,120.11	$9,120.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,479.11 / $4,168.69	Professional		$758.58	$1,479.11	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $851.14	Professional		$32.36	$33.11	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $2,511.89	Professional		$1,479.11	$1,905.46	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,445.44 / $2,511.89	Professional		$891.25	$1,445.44	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $2,187.76	Professional		$1,096.48	$1,659.59	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $977.24	Professional		$933.25	$933.25	$977.24