Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,160.00 / $1,160.00 / $1,160.00	Facility		$1,160.00	$1,160.00	$1,160.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $154.78 / $377.21 / $649.57	Facility		$154.78	$377.21	$649.57
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 $572.00 / $1,325.00 / $2,522.00	Facility		$572.00	$1,325.00	$2,522.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $630.00 / $630.00	Facility		$600.00	$630.00	$630.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $18,748.22 / $29,659.87 / $136,364.51	Facility		$18,748.22	$29,659.87	$136,364.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $1,236.00 / $2,522.00	Facility		$572.00	$1,236.00	$2,522.00