Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $1,571.00	Facility		$500.00	$500.00	$1,571.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $123.34 / $195.93 / $403.46	Facility		$123.34	$195.93	$403.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $112.53 / $112.53	Facility		$15.00	$112.53	$112.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.00 / $773.00 / $1,029.00	Facility		$243.00	$773.00	$1,029.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,054.38 / $2,054.38 / $2,054.38	Facility		$2,054.38	$2,054.38	$2,054.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $33.18 / $52.02 / $285.88	Facility		$33.18	$52.02	$285.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $342.00 / $835.00 / $1,133.00	Facility		$342.00	$835.00	$1,133.00