Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.00 / $633.00 / $1,300.00	Facility		$275.00	$633.00	$1,300.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $292.83 / $721.17 / $1,403.99	Facility		$292.83	$721.17	$1,403.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $803.00 / $803.00	Facility		$803.00	$803.00	$803.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $1,005.70 / $1,005.70	Facility		$15.00	$1,005.70	$1,005.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $900.00 / $3,690.00	Facility		$250.00	$900.00	$3,690.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $702.00 / $702.00	Facility		$702.00	$702.00	$702.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $481.29 / $1,221.22 / $3,831.00	Facility		$481.29	$1,221.22	$3,831.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $648.99 / $1,126.99 / $1,714.99	Facility		$648.99	$1,126.99	$1,714.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $430.00 / $2,600.00	Facility		$200.00	$430.00	$2,600.00