Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $24.67 / $39.69	Professional		$19.57	$24.67	$39.69
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.78 / $12.03 / $17.16	Professional	52	$9.78	$12.03	$17.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $29.60 / $36.17	Professional		$21.45	$29.60	$36.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $21.95 / $21.95	Professional		$19.45	$21.95	$21.95
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $35.22 / $48.99	Professional		$27.81	$35.22	$48.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $27.81 / $41.17	Professional		$18.07	$27.81	$41.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $162.13 / $162.13 / $258.60	Professional		$162.13	$162.13	$258.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $38.27 / $52.99	Professional		$32.38	$38.27	$52.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $37.06 / $101.84	Professional		$27.30	$37.06	$101.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $28.59 / $49.16	Professional		$18.28	$28.59	$49.16
United Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $20.55 / $30.13	Professional		$15.86	$20.55	$30.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $27.81 / $39.96	Professional		$25.13	$27.81	$39.96