Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.32 / $112.32 / $112.32	Facility		$112.32	$112.32	$112.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $112.32 / $112.32	Professional		$78.12	$112.32	$112.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $61.70 / $73.79	Professional		$42.50	$61.70	$73.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.49 / $93.49 / $93.49	Professional		$93.49	$93.49	$93.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $229.71 / $229.71 / $229.71	Facility		$229.71	$229.71	$229.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
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 $83.00 / $112.32 / $132.54	Facility		$83.00	$112.32	$132.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $112.32 / $132.54	Facility		$83.00	$112.32	$132.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00