Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.04 / $425.42 / $948.65	Facility		$415.04	$425.42	$948.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.04 / $425.42 / $465.92	Professional		$415.04	$425.42	$465.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.98 / $440.98 / $440.98	Facility		$419.98	$440.98	$440.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.98 / $440.98 / $440.98	Professional		$440.98	$440.98	$440.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $469.39 / $1,644.30 / $1,731.60	Facility		$469.39	$1,644.30	$1,731.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,754.69 / $1,877.54 / $2,223.41	Professional		$1,754.69	$1,877.54	$2,223.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $415.04 / $430.60 / $1,178.05	Facility		$415.04	$430.60	$1,178.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $27.40	Professional		$27.40	$27.40	$27.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $415.04 / $439.21 / $1,042.86	Facility		$415.04	$439.21	$1,042.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $440.98 / $440.98 / $440.98	Professional		$440.98	$440.98	$440.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $411.74 / $411.74 / $576.44	Professional		$411.74	$411.74	$576.44