Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $93.33	Professional		$19.95	$25.70	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $28.18	Professional		$19.05	$25.12	$28.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.30 / $39.81	Professional		$19.50	$26.30	$39.81
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $37.15	Professional		$22.91	$33.88	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.30 / $38.90	Professional		$20.42	$26.30	$38.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $154.88 / $213.80	Professional		$25.12	$154.88	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $52.48	Professional		$20.89	$28.18	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $33.11	Professional		$19.95	$32.36	$33.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $41.69	Professional		$20.89	$26.92	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $32.36	Professional		$16.98	$22.91	$32.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39