Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $118.10 / $348.60	Professional		$75.15	$118.10	$348.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $246.33 / $297.18	Professional		$229.09	$246.33	$297.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.97 / $275.64 / $417.22	Professional		$218.97	$275.64	$417.22
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $270.95 / $347.57 / $457.33	Professional		$270.95	$347.57	$457.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.77 / $300.41 / $501.49	Professional		$149.77	$300.41	$501.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,373.71 / $1,373.71 / $2,263.94	Professional		$1,373.71	$1,373.71	$2,263.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $298.70 / $363.64 / $483.12	Professional		$298.70	$363.64	$483.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $238.73 / $304.38 / $499.14	Professional		$238.73	$304.38	$499.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.47 / $313.47 / $625.28	Professional		$160.47	$313.47	$625.28
United Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $83.63 / $149.57	Professional		$63.30	$83.63	$149.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $221.68 / $246.33 / $352.97	Professional		$221.68	$246.33	$352.97