Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $89.13	Professional		$28.18	$40.74	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.02 / $45.71	Professional		$33.88	$38.02	$45.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $61.66	Professional		$30.90	$36.31	$61.66
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $91.20	Professional		$37.15	$52.48	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $199.53	Professional		$72.44	$107.15	$199.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $457.09	Professional		$436.52	$436.52	$457.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $70.79	Professional		$28.18	$40.74	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $69.18 / $93.33	Professional		$36.31	$69.18	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $107.15	Professional		$50.12	$83.18	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $89.13	Professional		$28.84	$42.66	$89.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $38.90 / $46.77	Professional		$37.15	$38.90	$46.77