Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $92.05 / $169.36 / $372.09	Facility		$92.05	$169.36	$372.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $226.80 / $226.80	Facility		$15.00	$226.80	$226.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $1,133.00 / $1,133.00	Facility		$1,086.00	$1,133.00	$1,133.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.70 / $688.02 / $1,383.00	Facility		$478.70	$688.02	$1,383.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $28.24 / $44.28 / $258.87	Facility		$28.24	$44.28	$258.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,133.00 / $1,133.00 / $1,133.00	Facility		$1,133.00	$1,133.00	$1,133.00