Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.08 / $130.08 / $130.08	Facility		$130.08	$130.08	$130.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $130.08 / $130.08	Professional		$118.13	$130.08	$130.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $84.00 / $92.00	Professional		$66.79	$84.00	$92.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.43 / $1.43	Professional		$1.22	$1.43	$1.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $223.57 / $223.57 / $223.57	Facility		$223.57	$223.57	$223.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $13.17 / $13.17	Professional		$13.17	$13.17	$13.17
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 $118.13 / $130.08 / $275.77	Facility		$118.13	$130.08	$275.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $160.76 / $236.87	Professional		$126.58	$160.76	$236.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.49 / $130.08 / $275.77	Facility		$120.49	$130.08	$275.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $13.17 / $13.17	Professional		$13.17	$13.17	$13.17