Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $56.65 / $174.50 / $411.52	Facility		$56.65	$174.50	$411.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $50.40 / $50.40	Facility		$15.00	$50.40	$50.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Facility		$700.00	$700.00	$700.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,892.00 / $1,892.00 / $1,892.00	Facility		$1,892.00	$1,892.00	$1,892.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Facility		$35.00	$35.00	$35.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Facility		$700.00	$700.00	$700.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,000.00 / $4,000.00 / $4,000.00	Facility		$4,000.00	$4,000.00	$4,000.00