Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $245.47 / $302.00	Facility		$79.43	$245.47	$302.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $125.89 / $173.78	Facility		$77.62	$125.89	$173.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $32.36 / $1,778.28	Facility		$14.13	$32.36	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $100.00 / $281.84	Facility		$75.86	$100.00	$281.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $95.50 / $288.40	Facility		$75.86	$95.50	$288.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $97.72 / $158.49	Facility		$93.33	$97.72	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $89.13 / $213.80	Facility		$70.79	$89.13	$213.80