Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $22.69 / $30.28	Professional		$16.30	$22.69	$30.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $30.70 / $30.70	Professional		$30.70	$30.70	$30.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $19.34 / $22.75	Professional		$16.39	$19.34	$22.75
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $33.77 / $50.00	Professional		$30.70	$33.77	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $28.87 / $32.95	Professional		$28.87	$28.87	$32.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $186.39 / $264.45	Professional		$154.47	$186.39	$264.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.54 / $56.48	Professional		$33.11	$41.54	$56.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.30 / $50.60 / $68.70	Professional		$46.30	$50.60	$68.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $28.87 / $60.20	Professional		$28.87	$28.87	$60.20
United Facility/Professional Professional Modifier Low / Median / High Price $21.11 / $28.15 / $46.61	Professional		$21.11	$28.15	$46.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $31.44 / $42.98	Professional		$26.78	$31.44	$42.98