Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $213.80	Professional		$112.20	$144.54	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $162.18	Professional		$85.11	$109.65	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $186.21	Professional		$95.50	$112.20	$186.21
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $141.25 / $213.80	Professional		$125.89	$141.25	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $288.40	Professional		$120.23	$173.78	$288.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,000.00 / $1,000.00	Professional		$891.25	$1,000.00	$1,000.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $245.47	Professional		$114.82	$151.36	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $104.71	Professional		$32.36	$33.11	$104.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $288.40 / $524.81	Professional		$64.57	$288.40	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $309.03	Professional		$117.49	$177.83	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $229.09	Professional		$112.20	$151.36	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $169.82	Professional		$89.13	$144.54	$169.82