Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $84.68 / $138.85 / $231.90	Facility		$84.68	$138.85	$231.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $1,136.76 / $1,136.76	Facility		$15.00	$1,136.76	$1,136.76
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 $214.37 / $214.37 / $214.37	Facility		$214.37	$214.37	$214.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $665.12 / $1,291.79 / $2,483.00	Facility		$665.12	$1,291.79	$2,483.00
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