Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $167.74 / $269.64 / $465.69	Facility		$167.74	$269.64	$465.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $638.19 / $638.19	Facility		$15.00	$638.19	$638.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $313.13 / $313.13 / $313.13	Facility		$313.13	$313.13	$313.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $92.19 / $132.35 / $285.88	Facility		$92.19	$132.35	$285.88