Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $30.20	Professional		$15.85	$22.91	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.88	Professional		$32.36	$32.36	$33.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $25.12 / $27.54	Professional		$23.44	$25.12	$27.54
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.88 / $50.12	Professional		$30.90	$33.88	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $263.03	Professional		$186.21	$263.03	$263.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $40.74	Professional		$15.85	$22.91	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $64.57	Professional		$40.74	$51.29	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $60.26	Professional		$31.62	$31.62	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $44.67	Professional		$19.95	$27.54	$44.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $34.67 / $41.69	Professional		$24.55	$34.67	$41.69