Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.00 / $984.00 / $984.00	Facility		$960.00	$984.00	$984.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $984.00 / $1,020.00	Professional		$960.00	$984.00	$1,020.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $121.37 / $121.37	Facility		$80.00	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Facility		$1,020.00	$1,020.00	$1,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Professional		$1,020.00	$1,020.00	$1,020.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,140.00 / $2,400.00 / $4,500.00	Facility		$1,140.00	$2,400.00	$4,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,560.00 / $4,560.00 / $5,400.00	Professional		$4,560.00	$4,560.00	$5,400.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $979.20 / $1,200.00 / $2,086.08	Facility		$979.20	$1,200.00	$2,086.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $205.54 / $302.94	Professional		$148.10	$205.54	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $979.20 / $1,200.00 / $2,086.08	Facility		$979.20	$1,200.00	$2,086.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Professional		$1,020.00	$1,020.00	$1,020.00
United Facility/Professional Professional Modifier Low / Median / High Price $788.99 / $788.99 / $799.25	Professional		$788.99	$788.99	$799.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.84 / $100.84 / $136.13	Professional		$100.84	$100.84	$136.13