Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $260.00 / $381.13	Facility		$212.00	$260.00	$381.13
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $185.00 / $185.00 / $185.00	Facility		$185.00	$185.00	$185.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $289.00 / $901.00	Facility		$175.00	$289.00	$901.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $118.75 / $118.75	Facility		$16.00	$118.75	$118.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.00 / $239.00 / $295.00	Facility		$197.00	$239.00	$295.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $2,066.00 / $2,570.00	Facility		$1,540.00	$2,066.00	$2,570.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Facility		$250.00	$250.00	$250.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $220.00 / $348.00	Facility		$180.00	$220.00	$348.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.00 / $242.00 / $316.00	Facility		$197.00	$242.00	$316.00
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $472.00 / $472.00	Facility		$472.00	$472.00	$472.00
Wellpoint Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $250.00 / $325.00	Facility		$250.00	$250.00	$325.00