Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,828.00 / $5,221.00	Facility		$500.00	$1,828.00	$5,221.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $438.06 / $457.09 / $558.66	Facility		$438.06	$457.09	$558.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $118.60 / $118.60 / $2,229.00	Facility		$118.60	$118.60	$2,229.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,109.00 / $2,958.00	Facility		$450.00	$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 $450.00 / $735.00 / $2,925.00	Facility		$450.00	$735.00	$2,925.00
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $827.00 / $1,970.00	Facility		$450.00	$827.00	$1,970.00
Wellpoint Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $1,275.00 / $1,275.00	Facility		$462.00	$1,275.00	$1,275.00