Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $28.27 / $64.69	Professional		$15.39	$28.27	$64.69
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $7.70 / $10.05 / $16.52	Professional	52	$7.70	$10.05	$16.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $16.50 / $21.45	Professional		$15.43	$16.50	$21.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $19.42 / $29.73	Professional		$15.26	$19.42	$29.73
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $24.61 / $88.02	Professional		$18.23	$24.61	$88.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.73 / $69.23 / $130.50	Professional		$53.73	$69.23	$130.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $288.60 / $305.91 / $305.91	Professional		$288.60	$305.91	$305.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $24.46 / $43.41	Professional		$20.09	$24.46	$43.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $20.93 / $33.86	Professional		$17.10	$20.93	$33.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $45.49 / $76.00	Professional		$22.75	$45.49	$76.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $28.58 / $53.11	Professional		$20.14	$28.58	$53.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $23.10 / $31.00	Professional		$16.50	$23.10	$31.00