Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.91 / $24.97 / $35.20	Professional		$19.91	$24.97	$35.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $22.62 / $22.62	Professional		$20.63	$22.62	$22.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $26.83 / $40.19	Professional		$22.05	$26.83	$40.19
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $28.87 / $46.09	Professional		$23.86	$28.87	$46.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $60.15 / $107.38	Professional		$21.91	$60.15	$107.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $440.00 / $440.00	Professional		$440.00	$440.00	$440.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.53 / $33.52 / $46.50	Professional		$27.53	$33.52	$46.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $25.39 / $44.20	Professional		$22.35	$25.39	$44.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $56.55 / $70.93	Professional		$31.48	$56.55	$70.93
United Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $26.66 / $42.54	Professional		$18.38	$26.66	$42.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $22.62 / $32.47	Professional		$20.43	$22.62	$32.47