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 $240.00 / $240.00 / $240.00	Facility		$240.00	$240.00	$240.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.00 / $346.00 / $781.00	Facility		$282.00	$346.00	$781.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $21.00 / $415.00	Facility		$14.00	$21.00	$415.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $2,860.00 / $4,000.00	Facility		$1,600.00	$2,860.00	$4,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Facility		$300.00	$300.00	$300.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $280.00 / $434.00 / $814.00	Facility		$280.00	$434.00	$814.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $286.00 / $450.00 / $646.00	Facility		$286.00	$450.00	$646.00
United Facility/Professional Facility Modifier Low / Median / High Price $944.00 / $944.00 / $944.00	Facility		$944.00	$944.00	$944.00
Wellpoint Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $475.00	Facility		$450.00	$450.00	$475.00