Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $173.88 / $272.79 / $700.34	Facility		$173.88	$272.79	$700.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $18.00 / $45.00	Facility		$12.00	$18.00	$45.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $1,061.00 / $1,061.00	Facility		$1,061.00	$1,061.00	$1,061.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.44 / $41.44 / $1,080.00	Facility		$41.44	$41.44	$1,080.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,291.79 / $2,869.00 / $6,125.68	Facility		$1,291.79	$2,869.00	$6,125.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $1,061.00 / $1,061.00	Facility		$1,061.00	$1,061.00	$1,061.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,000.00 / $5,000.00	Facility		$1,000.00	$4,000.00	$5,000.00