Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $169.82 / $380.19	Facility		$93.33	$169.82	$380.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $26.92 / $229.09	Facility		$12.02	$26.92	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,122.02	Facility		$1,096.48	$1,096.48	$1,122.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $190.55 / $199.53	Facility		$28.18	$190.55	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02