Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $633.00 / $1,799.00	Facility		$424.00	$633.00	$1,799.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $220.99 / $463.23	Facility		$127.55	$220.99	$463.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.00 / $566.00 / $712.00	Facility		$392.00	$566.00	$712.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $20.00 / $475.00	Facility		$14.00	$20.00	$475.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $532.00 / $1,144.50	Facility		$90.00	$532.00	$1,144.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Facility		$1,870.00	$1,870.00	$1,870.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $207.32 / $282.02 / $1,515.01	Facility		$207.32	$282.02	$1,515.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $450.00 / $995.00	Facility		$75.00	$450.00	$995.00