Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.18 / $85.11	Professional		$18.20	$28.18	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $23.99 / $38.90	Professional		$17.38	$23.99	$38.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.38 / $31.62	Professional		$14.45	$17.38	$31.62
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.18 / $58.88	Professional		$20.42	$28.18	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $34.67 / $64.57	Professional		$22.39	$34.67	$64.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.84 / $61.66	Professional		$18.62	$28.84	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $32.36 / $33.11	Professional		$16.98	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $54.95 / $69.18	Professional		$29.51	$54.95	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $58.88	Professional		$22.91	$34.67	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $29.51 / $52.48	Professional		$20.42	$29.51	$52.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $31.62 / $38.02	Professional		$30.20	$31.62	$38.02