Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.24 / $78.77 / $190.56	Professional		$60.24	$78.77	$190.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $67.11 / $88.23	Professional		$62.41	$67.11	$88.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.09 / $70.84 / $114.75	Professional		$58.09	$70.84	$114.75
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $88.23 / $149.91	Professional		$66.30	$88.23	$149.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $91.92 / $141.13	Professional		$63.22	$91.92	$141.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $484.75 / $484.75 / $579.53	Professional		$484.75	$484.75	$579.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $99.47 / $123.34	Professional		$75.92	$99.47	$123.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.22 / $79.20 / $142.90	Professional		$66.22	$79.20	$142.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.11 / $100.06 / $179.55	Professional		$67.11	$100.06	$179.55
United Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $80.12 / $120.18	Professional		$60.55	$80.12	$120.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.59 / $66.14 / $89.95	Professional		$56.59	$66.14	$89.95