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 $76.16 / $146.74 / $201.84	Facility		$76.16	$146.74	$201.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $443.36 / $443.36	Facility		$15.00	$443.36	$443.36
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 $293.20 / $293.20 / $293.20	Facility		$293.20	$293.20	$293.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $95.00 / $218.00	Facility		$75.00	$95.00	$218.00