Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $39.59 / $62.05	Professional		$31.41	$39.59	$62.05
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.71 / $19.38 / $27.37	Professional	52	$15.71	$19.38	$27.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.35 / $47.19 / $68.23	Professional		$34.35	$47.19	$68.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.84 / $34.79 / $34.79	Professional		$30.84	$34.79	$34.79
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $56.63 / $84.40	Professional		$46.78	$56.63	$84.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $45.59 / $65.30	Professional		$29.24	$45.59	$65.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $259.85 / $259.85 / $411.38	Professional		$259.85	$259.85	$411.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.53 / $63.32 / $84.42	Professional		$52.53	$63.32	$84.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.12 / $60.74 / $116.75	Professional		$44.12	$60.74	$116.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $46.36 / $78.41	Professional		$29.58	$46.36	$78.41
United Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $33.13 / $49.62	Professional		$27.06	$33.13	$49.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.03 / $44.32 / $63.71	Professional		$40.03	$44.32	$63.71