Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.10 / $96.10 / $96.10	Facility		$96.10	$96.10	$96.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.13 / $96.10 / $98.73	Professional		$69.13	$96.10	$98.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.78 / $70.00 / $97.37	Professional		$49.78	$70.00	$97.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $61.75 / $61.75	Professional		$52.49	$61.75	$61.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $168.31 / $168.31 / $168.31	Facility		$168.31	$168.31	$168.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $20.93 / $20.93	Professional		$20.93	$20.93	$20.93
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 $77.00 / $96.10 / $203.73	Facility		$77.00	$96.10	$203.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $95.43 / $150.54	Professional		$92.85	$95.43	$150.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $147.19 / $147.19	Professional		$147.19	$147.19	$147.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $96.10 / $203.73	Facility		$77.00	$96.10	$203.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $20.93 / $20.93	Professional		$20.93	$20.93	$20.93