Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.42 / $122.42 / $122.42	Facility		$122.42	$122.42	$122.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $122.42 / $122.42	Professional		$99.11	$122.42	$122.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $90.00 / $130.00	Professional		$66.79	$90.00	$130.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $81.30 / $81.30	Professional		$69.09	$81.30	$81.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $222.52 / $222.52 / $222.52	Facility		$222.52	$222.52	$222.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $9.85	Professional		$9.85	$9.85	$9.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.06 / $122.42 / $259.52	Facility		$104.06	$122.42	$259.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.40 / $194.40 / $194.40	Professional		$194.40	$194.40	$194.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.06 / $122.42 / $259.52	Facility		$104.06	$122.42	$259.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $9.85	Professional		$9.85	$9.85	$9.85