Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $1,222.00 / $1,222.00	Facility		$424.00	$1,222.00	$1,222.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $219.20 / $447.07 / $1,480.73	Facility		$219.20	$447.07	$1,480.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $676.82 / $676.82	Facility		$15.00	$676.82	$676.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,050.00 / $2,054.00	Facility		$302.00	$1,050.00	$2,054.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $810.00 / $920.00	Facility		$610.00	$810.00	$920.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,476.75 / $5,476.75 / $5,476.75	Facility		$5,476.75	$5,476.75	$5,476.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $641.36 / $2,936.15 / $5,240.33	Facility		$641.36	$2,936.15	$5,240.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $909.00 / $2,106.00	Facility		$320.00	$909.00	$2,106.00