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 $197.26 / $396.80 / $1,043.97	Facility		$197.26	$396.80	$1,043.97
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 $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 $3,016.30 / $3,016.30 / $3,396.95	Facility		$3,016.30	$3,016.30	$3,396.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $1,269.06 / $1,693.32	Facility		$639.00	$1,269.06	$1,693.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $915.67 / $2,106.00	Facility		$320.00	$915.67	$2,106.00
United Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $572.00	Facility		$572.00	$572.00	$572.00