Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $263.03 / $316.23	Facility		$104.71	$263.03	$316.23
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $46.77 / $69.18	Facility		$19.05	$46.77	$69.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $16.98 / $44.67	Facility		$12.02	$16.98	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $100.00 / $281.84	Facility		$75.86	$100.00	$281.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $158.49 / $165.96	Facility		$134.90	$158.49	$165.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $100.00 / $316.23	Facility		$75.86	$100.00	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $89.13 / $204.17	Facility		$75.86	$89.13	$204.17