Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.45 / $81.26 / $196.65	Professional		$56.45	$81.26	$196.65
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $28.23 / $36.79 / $54.61	Professional	52	$28.23	$36.79	$54.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $71.26 / $86.21	Professional		$61.44	$71.26	$86.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $65.88 / $113.13	Professional		$52.67	$65.88	$113.13
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $102.39 / $160.34	Professional		$75.09	$102.39	$160.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $102.32 / $179.61	Professional		$73.04	$102.32	$179.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,420.00 / $1,420.00 / $1,420.00	Professional		$1,420.00	$1,420.00	$1,420.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $99.18 / $161.07	Professional		$79.34	$99.18	$161.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $71.15 / $131.19	Professional		$38.59	$71.15	$131.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.41 / $103.72 / $177.14	Professional		$73.41	$103.72	$177.14
United Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $79.68 / $141.36	Professional		$57.74	$79.68	$141.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.46 / $68.26 / $96.20	Professional		$60.46	$68.26	$96.20