Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $11.45 / $56.58	Facility		$4.29	$11.45	$56.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.88 / $26.00	Facility		$15.00	$15.88	$26.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Facility		$500.00	$500.00	$500.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.49 / $32.97 / $184.73	Facility		$4.49	$32.97	$184.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Facility		$500.00	$500.00	$500.00