Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.00 / $1,564.00 / $1,770.00	Facility		$831.00	$1,564.00	$1,770.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $146.16 / $159.19 / $236.87	Facility		$146.16	$159.19	$236.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $19.00 / $45.00	Facility		$12.00	$19.00	$45.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $423.00 / $600.00 / $700.00	Facility		$423.00	$600.00	$700.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $384.00 / $384.00	Facility		$384.00	$384.00	$384.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Facility		$125.00	$125.00	$125.00