Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,479.11	Professional		$630.96	$831.76	$1,479.11
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $691.83 / $691.83 / $691.83	Professional	52	$691.83	$691.83	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $724.44 / $851.14	Professional		$630.96	$724.44	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,258.93	Professional		$660.69	$831.76	$1,258.93
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,202.26	Professional		$812.83	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,778.28	Professional		$707.95	$954.99	$1,778.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,456.54 / $6,456.54	Professional		$5,754.40	$6,456.54	$6,456.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,445.44	Professional		$630.96	$870.96	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $616.60	Professional		$32.36	$33.11	$616.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,348.96 / $1,659.59	Professional		$707.95	$1,348.96	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,778.28	Professional		$707.95	$954.99	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $676.08 / $1,047.13	Professional		$354.81	$676.08	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $758.58 / $891.25	Professional		$724.44	$758.58	$891.25