Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.63 / $226.19 / $624.63	Professional		$166.63	$226.19	$624.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $217.31 / $283.18 / $286.29	Professional		$217.31	$283.18	$286.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.65 / $206.96 / $238.25	Professional		$190.65	$206.96	$238.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $204.49 / $226.27 / $392.09	Professional		$204.49	$226.27	$392.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $199.09 / $199.09	Professional		$199.09	$199.09	$199.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,543.86 / $1,543.86 / $1,894.80	Professional		$1,543.86	$1,543.86	$1,894.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.49 / $331.09 / $525.00	Professional		$204.49	$331.09	$525.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $226.27 / $286.29 / $452.54	Professional		$226.27	$286.29	$452.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $199.09 / $199.09	Professional		$199.09	$199.09	$199.09
United Facility/Professional Professional Modifier Low / Median / High Price $210.18 / $272.70 / $412.70	Professional		$210.18	$272.70	$412.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $184.69 / $204.49 / $294.07	Professional		$184.69	$204.49	$294.07