Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.37 / $154.74 / $420.41	Professional		$111.37	$154.74	$420.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.91 / $129.15 / $158.58	Professional		$109.91	$129.15	$158.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.40 / $127.34 / $206.23	Professional		$104.40	$127.34	$206.23
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $119.98 / $156.03 / $269.95	Professional		$119.98	$156.03	$269.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.57 / $178.12 / $274.24	Professional		$122.57	$178.12	$274.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $907.92 / $907.92 / $1,044.08	Professional		$907.92	$907.92	$1,044.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.01 / $184.96 / $262.83	Professional		$140.01	$184.96	$262.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.72 / $145.30 / $269.30	Professional		$119.72	$145.30	$269.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.59 / $186.49 / $324.95	Professional		$125.59	$186.49	$324.95
United Facility/Professional Professional Modifier Low / Median / High Price $112.37 / $149.68 / $242.34	Professional		$112.37	$149.68	$242.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.87 / $119.05 / $161.97	Professional		$101.87	$119.05	$161.97