Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $13.76 / $13.76	Facility		$13.76	$13.76	$13.76
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 $500.00 / $500.00 / $500.00	Facility		$500.00	$500.00	$500.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.00 / $3,419.00 / $12,361.00	Facility		$1,659.00	$3,419.00	$12,361.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Facility		$500.00	$500.00	$500.00