Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.50 / $409.49 / $409.49	Facility		$399.50	$409.49	$409.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.50 / $409.49 / $424.47	Professional		$399.50	$409.49	$424.47
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 $424.47 / $424.47 / $424.47	Facility		$424.47	$424.47	$424.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Professional		$424.47	$424.47	$424.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $474.41 / $998.76 / $1,872.68	Facility		$474.41	$998.76	$1,872.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,897.64 / $1,897.64 / $2,247.21	Professional		$1,897.64	$1,897.64	$2,247.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.49 / $499.38 / $868.12	Facility		$407.49	$499.38	$868.12
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 $409.49 / $499.38 / $868.12	Facility		$409.49	$499.38	$868.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Professional		$424.47	$424.47	$424.47
United Facility/Professional Professional Modifier Low / Median / High Price $499.42 / $499.42 / $499.42	Professional		$499.42	$499.42	$499.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $424.47 / $573.03	Professional		$424.47	$424.47	$573.03