Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.00 / $510.00 / $1,151.00	Facility		$401.00	$510.00	$1,151.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $131.25 / $285.64 / $400.00	Facility		$131.25	$285.64	$400.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $303.00 / $583.00	Facility		$212.00	$303.00	$583.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $275.00 / $275.00	Facility		$16.00	$275.00	$275.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,560.00 / $2,900.00 / $4,000.00	Facility		$2,560.00	$2,900.00	$4,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $375.00	Facility		$100.00	$100.00	$375.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $310.00 / $418.00 / $565.00	Facility		$310.00	$418.00	$565.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $443.00 / $475.00	Facility		$250.00	$443.00	$475.00
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $800.00 / $800.00	Facility		$800.00	$800.00	$800.00
Wellpoint Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $475.00	Facility		$450.00	$450.00	$475.00