Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $74.13 / $239.88	Professional		$53.70	$74.13	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $58.88 / $74.13	Professional		$44.67	$58.88	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $48.98 / $95.50	Professional		$42.66	$48.98	$95.50
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $102.33	Professional		$54.95	$64.57	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $109.65	Professional		$56.23	$87.10	$109.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $251.19	Professional		$53.70	$75.86	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $51.29	Professional		$32.36	$43.65	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $117.49	Professional		$56.23	$83.18	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $109.65	Professional		$56.23	$77.62	$109.65