Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.00 / $1,769.00 / $5,221.00	Facility		$487.00	$1,769.00	$5,221.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $182.83 / $203.15 / $300.00	Facility		$182.83	$203.15	$300.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,980.00 / $4,561.13	Facility		$650.00	$1,980.00	$4,561.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.00 / $1,109.00 / $2,958.00	Facility		$310.00	$1,109.00	$2,958.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,970.00 / $10,000.00 / $10,000.00	Facility		$3,970.00	$10,000.00	$10,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $700.00 / $2,925.00	Facility		$300.00	$700.00	$2,925.00
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $836.00 / $2,021.00	Facility		$450.00	$836.00	$2,021.00
Wellpoint Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,275.00 / $1,275.00	Facility		$375.00	$1,275.00	$1,275.00