Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.00 / $1,828.00 / $5,221.00	Facility		$537.00	$1,828.00	$5,221.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $479.94 / $479.94 / $586.59	Facility		$479.94	$479.94	$586.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $168.80 / $168.80 / $2,229.00	Facility		$168.80	$168.80	$2,229.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.00 / $1,141.00 / $2,958.00	Facility		$529.00	$1,141.00	$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 $500.00 / $800.00 / $2,925.00	Facility		$500.00	$800.00	$2,925.00
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $843.00 / $1,985.00	Facility		$450.00	$843.00	$1,985.00
Wellpoint Facility/Professional Facility Modifier Low / Median / High Price $589.00 / $1,275.00 / $1,275.00	Facility		$589.00	$1,275.00	$1,275.00