Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $1,541.86 / $1,541.86 / $1,846.15	Facility		$1,541.86	$1,541.86	$1,846.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $18.00 / $45.00	Facility		$12.00	$18.00	$45.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $1,200.00 / $5,725.00	Facility		$850.00	$1,200.00	$5,725.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,336.00 / $9,256.00 / $21,815.00	Facility		$4,336.00	$9,256.00	$21,815.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $243.02 / $1,453.03 / $3,419.00	Facility		$243.02	$1,453.03	$3,419.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $1,200.00 / $5,725.00	Facility		$850.00	$1,200.00	$5,725.00