Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $616.60	Professional		$112.20	$165.96	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $158.49	Professional		$97.72	$123.03	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $194.98	Professional		$100.00	$123.03	$194.98
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $295.12	Professional		$120.23	$165.96	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $295.12	Professional		$123.03	$177.83	$295.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,047.13	Professional		$912.01	$1,047.13	$1,047.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $363.08	Professional		$114.82	$165.96	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $257.04 / $489.78	Professional		$120.23	$257.04	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $309.03	Professional		$120.23	$181.97	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $239.88	Professional		$112.20	$151.36	$239.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $158.49	Professional		$93.33	$134.90	$158.49