Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $107.01 / $227.92 / $448.06	Facility		$107.01	$227.92	$448.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $18.00 / $45.00	Facility		$12.00	$18.00	$45.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $106.40 / $3,813.55	Facility		$47.60	$106.40	$3,813.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $62.60 / $99.07 / $455.20	Facility		$62.60	$99.07	$455.20