Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $792.54 / $1,208.86	Professional		$600.00	$792.54	$1,208.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $633.27 / $703.63 / $914.38	Professional		$633.27	$703.63	$914.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $695.76 / $884.97 / $1,350.52	Professional		$695.76	$884.97	$1,350.52
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $809.17 / $1,125.81 / $1,204.11	Professional		$809.17	$1,125.81	$1,204.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $727.29 / $957.07 / $1,657.37	Professional		$727.29	$957.07	$1,657.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,712.10 / $5,712.10 / $6,521.18	Professional		$5,712.10	$5,712.10	$6,521.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $833.97 / $1,042.47 / $1,452.01	Professional		$833.97	$1,042.47	$1,452.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $719.74 / $882.34 / $1,453.78	Professional		$719.74	$882.34	$1,453.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $729.68 / $998.18 / $1,860.19	Professional		$729.68	$998.18	$1,860.19
United Facility/Professional Professional Modifier Low / Median / High Price $384.23 / $669.17 / $1,072.06	Professional		$384.23	$669.17	$1,072.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $655.20 / $703.63 / $1,011.81	Professional		$655.20	$703.63	$1,011.81