Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $82.69 / $191.57	Professional		$60.28	$82.69	$191.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.17 / $65.18 / $80.56	Professional		$58.17	$65.18	$80.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.22 / $78.09 / $117.29	Professional		$60.22	$78.09	$117.29
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $104.29 / $521.00	Professional		$74.95	$104.29	$521.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.88 / $115.44 / $226.25	Professional		$77.88	$115.44	$226.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,554.00 / $1,554.00 / $1,554.00	Professional		$1,554.00	$1,554.00	$1,554.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $95.55 / $248.20	Professional		$78.48	$95.55	$248.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $75.42 / $126.84	Professional		$51.96	$75.42	$126.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $115.93 / $201.76	Professional		$77.75	$115.93	$201.76
United Facility/Professional Professional Modifier Low / Median / High Price $69.66 / $98.85 / $178.29	Professional		$69.66	$98.85	$178.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $65.18 / $92.68	Professional		$58.25	$65.18	$92.68