Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.00 / $735.95 / $735.95	Facility		$718.00	$735.95	$735.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $735.95 / $762.88	Professional		$718.00	$735.95	$762.88
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 $762.88 / $762.88 / $762.88	Facility		$762.88	$762.88	$762.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Professional		$762.88	$762.88	$762.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $897.50 / $1,795.00 / $3,365.63	Facility		$897.50	$1,795.00	$3,365.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,410.50 / $3,410.50 / $4,038.75	Professional		$3,410.50	$3,410.50	$4,038.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $344.82 / $919.55 / $1,655.89	Facility		$344.82	$919.55	$1,655.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $631.40 / $663.00 / $765.60	Professional		$631.40	$663.00	$765.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $344.82 / $919.55 / $1,375.00	Facility		$344.82	$919.55	$1,375.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Professional		$762.88	$762.88	$762.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,997.50 / $1,997.50 / $1,997.50	Professional		$1,997.50	$1,997.50	$1,997.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $718.00 / $969.30	Professional		$718.00	$718.00	$969.30