Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,819.70 / $1,819.70	Facility		$630.96	$1,819.70	$1,819.70
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $204.17 / $467.74	Facility		$138.04	$204.17	$467.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $562.34 / $758.58	Facility		$398.11	$562.34	$758.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $18.20 / $478.63	Facility		$12.02	$18.20	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $776.25 / $977.24	Facility		$100.00	$776.25	$977.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $630.96 / $1,819.70	Facility		$436.52	$630.96	$1,819.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $676.08 / $724.44	Facility		$190.55	$676.08	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $446.68 / $977.24	Facility		$70.79	$446.68	$977.24