Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.62 / $588.62 / $588.62	Facility		$588.62	$588.62	$588.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.62 / $588.62 / $588.62	Professional		$588.62	$588.62	$588.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $528.73 / $528.73 / $528.73	Facility		$528.73	$528.73	$528.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.33 / $781.33 / $781.33	Professional		$781.33	$781.33	$781.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.62 / $588.62 / $1,670.74	Facility		$588.62	$588.62	$1,670.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,349.31 / $4,349.31 / $5,194.14	Professional		$4,349.31	$4,349.31	$5,194.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.62 / $588.62 / $1,670.74	Facility		$588.62	$588.62	$1,670.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $781.33 / $781.33 / $781.33	Professional		$781.33	$781.33	$781.33