Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.59 / $141.65 / $207.00	Professional		$112.59	$141.65	$207.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $118.81 / $187.14	Professional		$105.00	$118.81	$187.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.26 / $137.46 / $222.08	Professional		$112.26	$137.46	$222.08
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $154.34 / $199.22	Professional		$120.74	$154.34	$199.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.07 / $156.66 / $230.69	Professional		$117.07	$156.66	$230.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,624.00 / $1,624.00 / $1,624.00	Professional		$1,624.00	$1,624.00	$1,624.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $191.66 / $255.54	Professional		$120.74	$191.66	$255.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.28 / $147.04 / $207.02	Professional		$128.28	$147.04	$207.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.07 / $163.89 / $265.38	Professional		$117.07	$163.89	$265.38
United Facility/Professional Professional Modifier Low / Median / High Price $102.05 / $136.06 / $194.29	Professional		$102.05	$136.06	$194.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.05 / $120.74 / $169.04	Professional		$109.05	$120.74	$169.04