Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $202.00 / $316.00	Facility		$100.00	$202.00	$316.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $117.40 / $183.31	Facility		$63.43	$117.40	$183.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $1,777.57 / $1,777.57	Facility		$15.00	$1,777.57	$1,777.57
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 $110.00 / $110.00 / $154.00	Facility		$110.00	$110.00	$154.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $159.00 / $211.00	Facility		$69.00	$159.00	$211.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $100.00 / $218.00	Facility		$70.00	$100.00	$218.00