Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $389.05 / $389.05	Facility		$213.80	$389.05	$389.05
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $16.98 / $32.36	Facility		$12.02	$16.98	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $208.93 / $288.40	Facility		$112.20	$208.93	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $173.78 / $288.40	Facility		$79.43	$173.78	$288.40