Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $64.09 / $179.92	Professional		$47.10	$64.09	$179.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.69 / $48.34 / $67.68	Professional		$44.69	$48.34	$67.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.87 / $58.25 / $88.89	Professional		$47.87	$58.25	$88.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $68.20 / $126.68	Professional		$52.69	$68.20	$126.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $75.70 / $117.97	Professional		$52.20	$75.70	$117.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $374.39 / $375.20 / $442.80	Professional		$374.39	$375.20	$442.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.56 / $77.69 / $119.28	Professional		$59.56	$77.69	$119.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $62.84 / $117.00	Professional		$51.40	$62.84	$117.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.61 / $78.75 / $137.09	Professional		$53.61	$78.75	$137.09
United Facility/Professional Professional Modifier Low / Median / High Price $47.93 / $64.30 / $103.83	Professional		$47.93	$64.30	$103.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $50.67 / $68.90	Professional		$43.34	$50.67	$68.90