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 $170.42 / $276.38 / $706.26	Facility		$170.42	$276.38	$706.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $19.00 / $400.00	Facility		$12.00	$19.00	$400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,028.00 / $2,049.00	Facility		$302.00	$1,028.00	$2,049.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $810.00 / $920.00	Facility		$500.00	$810.00	$920.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $563.80 / $2,499.00 / $5,734.08	Facility		$563.80	$2,499.00	$5,734.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $909.00 / $2,013.00	Facility		$320.00	$909.00	$2,013.00