Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.07 / $593.54 / $593.54	Facility		$579.07	$593.54	$593.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.07 / $593.54 / $615.26	Professional		$579.07	$593.54	$615.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $121.37 / $121.37 / $121.37	Facility		$121.37	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Facility		$615.26	$615.26	$615.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Professional		$615.26	$615.26	$615.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $723.84 / $1,447.68 / $2,714.40	Facility		$723.84	$1,447.68	$2,714.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,750.59 / $2,750.59 / $3,257.28	Professional		$2,750.59	$2,750.59	$3,257.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $590.65 / $723.84 / $1,258.33	Facility		$590.65	$723.84	$1,258.33
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 $593.54 / $723.84 / $1,258.33	Facility		$593.54	$723.84	$1,258.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Professional		$615.26	$615.26	$615.26
United Facility/Professional Professional Modifier Low / Median / High Price $723.84 / $723.84 / $733.25	Professional		$723.84	$723.84	$733.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $633.36 / $633.36 / $855.04	Professional		$633.36	$633.36	$855.04