Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $204.00 / $316.00	Facility		$100.00	$204.00	$316.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $23.05 / $37.65 / $80.61	Facility		$23.05	$37.65	$80.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $2,467.89 / $2,467.89	Facility		$15.00	$2,467.89	$2,467.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $110.00 / $259.00	Facility		$75.00	$110.00	$259.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $203.00	Facility		$100.00	$100.00	$203.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $77.66 / $159.00 / $211.00	Facility		$77.66	$159.00	$211.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $95.00 / $218.00	Facility		$75.00	$95.00	$218.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,000.00 / $4,000.00 / $4,000.00	Facility		$4,000.00	$4,000.00	$4,000.00