Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.00 / $1,117.00 / $1,117.00	Facility		$747.00	$1,117.00	$1,117.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $854.13 / $854.13 / $854.13	Facility		$854.13	$854.13	$854.13
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 $868.00 / $932.00 / $1,007.00	Facility		$868.00	$932.00	$1,007.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $492.00 / $492.00 / $492.00	Facility		$492.00	$492.00	$492.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $650.22 / $889.50 / $3,207.00	Facility		$650.22	$889.50	$3,207.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $932.00 / $992.00 / $1,007.00	Facility		$932.00	$992.00	$1,007.00