Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $82.98 / $108.25	Professional		$69.56	$82.98	$108.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $62.91 / $70.67	Professional		$55.74	$62.91	$70.67
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $104.40 / $141.77	Professional		$86.70	$104.40	$141.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $95.34 / $151.15	Professional		$66.90	$95.34	$151.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $503.00 / $574.60 / $723.30	Professional		$503.00	$574.60	$723.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.86 / $107.32 / $142.59	Professional		$85.86	$107.32	$142.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.93 / $108.38 / $197.87	Professional		$70.93	$108.38	$197.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.17 / $97.77 / $171.94	Professional		$69.17	$97.77	$171.94
United Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $80.95 / $120.06	Professional		$60.80	$80.95	$120.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $84.27 / $117.45	Professional		$73.70	$84.27	$117.45