Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $338.84	Professional		$87.10	$117.49	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $134.90	Professional		$81.28	$100.00	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $151.36	Professional		$83.18	$104.71	$151.36
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $269.15	Professional		$95.50	$128.82	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $223.87	Professional		$95.50	$134.90	$223.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $812.83	Professional		$676.08	$812.83	$812.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $208.93	Professional		$89.13	$120.23	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $204.17 / $371.54	Professional		$95.50	$204.17	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $245.47	Professional		$95.50	$138.04	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $181.97	Professional		$87.10	$114.82	$181.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $123.03	Professional		$72.44	$104.71	$123.03