Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.00 / $202.00 / $316.00	Facility		$102.00	$202.00	$316.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $51.25 / $77.31 / $168.04	Facility		$51.25	$77.31	$168.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $19.00 / $45.00	Facility		$12.00	$19.00	$45.00
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 / $226.00	Facility		$110.00	$110.00	$226.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $33.00 / $116.00 / $150.00	Facility		$33.00	$116.00	$150.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $95.00 / $227.00	Facility		$70.00	$95.00	$227.00