Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.57 / $78.79 / $103.24	Professional		$56.57	$78.79	$103.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $65.25 / $104.45	Professional		$63.39	$65.25	$104.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.28 / $132.28 / $433.94	Facility		$44.28	$132.28	$433.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.58 / $51.58 / $51.58	Professional		$51.58	$51.58	$51.58
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $67.17 / $73.41 / $120.35	Professional		$67.17	$73.41	$120.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.00 / $197.00 / $216.51	Professional		$197.00	$197.00	$216.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.79 / $331.53 / $379.24	Facility		$151.79	$331.53	$379.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $446.97 / $446.97 / $611.85	Professional		$446.97	$446.97	$611.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.48 / $71.63 / $101.03	Facility		$55.48	$71.63	$101.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $76.45 / $76.45	Professional		$76.45	$76.45	$76.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.72 / $52.14 / $84.93	Professional		$45.72	$52.14	$84.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.86 / $74.38 / $99.25	Facility		$56.86	$74.38	$99.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $94.68 / $138.60	Professional		$94.68	$94.68	$138.60
United Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $62.19 / $91.21	Professional		$51.20	$62.19	$91.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.47 / $88.47 / $119.43	Professional		$88.47	$88.47	$119.43