Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $55.90 / $73.01	Professional		$45.32	$55.90	$73.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $48.81 / $52.49	Professional		$37.61	$48.81	$52.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.88 / $53.36 / $78.31	Professional		$34.88	$53.36	$78.31
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $48.27 / $57.76 / $89.41	Professional		$48.27	$57.76	$89.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $65.19 / $109.29	Professional		$48.03	$65.19	$109.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $350.50 / $374.37 / $443.10	Professional		$350.50	$374.37	$443.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.02 / $64.00 / $96.07	Professional		$53.02	$64.00	$96.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $62.99 / $102.06	Professional		$51.75	$62.99	$102.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $64.29 / $120.76	Professional		$42.50	$64.29	$120.76
United Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $64.29 / $104.54	Professional		$47.10	$64.29	$104.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $53.63 / $73.48	Professional		$45.55	$53.63	$73.48