Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.26 / $142.26 / $142.26	Facility		$142.26	$142.26	$142.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $142.26 / $142.26	Professional		$110.15	$142.26	$142.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $62.75 / $62.75	Professional		$62.75	$62.75	$62.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $36.61 / $36.61	Professional		$36.61	$36.61	$36.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $232.03 / $232.03 / $232.03	Facility		$232.03	$232.03	$232.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00
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 $110.15 / $142.26 / $156.49	Facility		$110.15	$142.26	$156.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $142.26 / $156.49	Facility		$110.15	$142.26	$156.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00