Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.00 / $204.00 / $316.00	Facility		$102.00	$204.00	$316.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $30.77 / $38.20 / $87.12	Facility		$30.77	$38.20	$87.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $19.00 / $45.00	Facility		$12.00	$19.00	$45.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $110.00 / $259.00	Facility		$75.00	$110.00	$259.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $203.00	Facility		$100.00	$100.00	$203.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $95.00 / $218.00	Facility		$75.00	$95.00	$218.00