Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $110.63 / $186.56	Professional		$86.40	$110.63	$186.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $93.53 / $122.96	Professional		$57.18	$93.53	$122.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $106.25 / $162.15	Professional		$86.45	$106.25	$162.15
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $96.20 / $123.93 / $209.21	Professional		$96.20	$123.93	$209.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.86 / $135.51 / $211.40	Professional		$94.86	$135.51	$211.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $671.69 / $671.69 / $809.10	Professional		$671.69	$671.69	$809.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.39 / $141.54 / $172.07	Professional		$106.39	$141.54	$172.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $113.96 / $210.20	Professional		$92.80	$113.96	$210.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.92 / $144.19 / $251.25	Professional		$96.92	$144.19	$251.25
United Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $115.57 / $187.12	Professional		$87.13	$115.57	$187.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $92.27 / $125.52	Professional		$78.95	$92.27	$125.52