Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.59 / $133.62 / $209.59	Professional		$97.59	$133.62	$209.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.91 / $100.91 / $100.91	Professional		$100.91	$100.91	$100.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.39 / $130.13 / $206.86	Professional		$102.39	$130.13	$206.86
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $108.51 / $132.47 / $157.97	Professional		$108.51	$132.47	$157.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.69 / $158.38 / $262.18	Professional		$118.69	$158.38	$262.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $903.71 / $903.71 / $1,006.58	Professional		$903.71	$903.71	$1,006.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.05 / $160.76 / $223.92	Professional		$132.05	$160.76	$223.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $144.82 / $240.20	Professional		$114.54	$144.82	$240.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.82 / $164.91 / $294.70	Professional		$119.82	$164.91	$294.70
United Facility/Professional Professional Modifier Low / Median / High Price $95.85 / $128.66 / $206.20	Professional		$95.85	$128.66	$206.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $108.51 / $155.99	Professional		$98.00	$108.51	$155.99