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 $84.26 / $137.97 / $197.35	Facility		$84.26	$137.97	$197.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $110.66 / $110.66	Facility		$15.00	$110.66	$110.66
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 / $155.00	Facility		$100.00	$100.00	$155.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $266.25 / $266.25 / $266.25	Facility		$266.25	$266.25	$266.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $218.00	Facility		$75.00	$100.00	$218.00