Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.01 / $150.28 / $309.73	Professional		$110.01	$150.28	$309.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.47 / $111.32 / $155.85	Professional		$72.47	$111.32	$155.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $135.19 / $206.32	Professional		$110.00	$135.19	$206.32
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $122.29 / $157.07 / $265.64	Professional		$122.29	$157.07	$265.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.06 / $181.36 / $279.42	Professional		$122.06	$181.36	$279.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $976.46 / $976.46 / $1,027.65	Professional		$976.46	$976.46	$1,027.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.03 / $179.65 / $234.00	Professional		$135.03	$179.65	$234.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.84 / $144.87 / $268.39	Professional		$117.84	$144.87	$268.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.43 / $190.40 / $320.14	Professional		$124.43	$190.40	$320.14
United Facility/Professional Professional Modifier Low / Median / High Price $110.71 / $151.80 / $248.40	Professional		$110.71	$151.80	$248.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.21 / $117.12 / $159.38	Professional		$100.21	$117.12	$159.38