Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.00 / $535.00 / $630.00	Facility		$185.00	$535.00	$630.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $56.01 / $91.22 / $130.94	Facility		$56.01	$91.22	$130.94
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 $205.00 / $358.00 / $680.00	Facility		$205.00	$358.00	$680.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $244.50 / $244.50 / $294.38	Facility		$244.50	$244.50	$294.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $112.72 / $148.57 / $404.00	Facility		$112.72	$148.57	$404.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $358.00 / $688.00	Facility		$250.00	$358.00	$688.00