Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $12.29 / $37.88 / $100.24	Facility		$12.29	$37.88	$100.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $227.52 / $227.52	Facility		$15.00	$227.52	$227.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Facility		$700.00	$700.00	$700.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.60 / $144.00 / $556.83	Facility		$115.60	$144.00	$556.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $168.09 / $230.03 / $1,110.78	Facility		$168.09	$230.03	$1,110.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Facility		$700.00	$700.00	$700.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,000.00 / $4,000.00 / $4,000.00	Facility		$4,000.00	$4,000.00	$4,000.00