Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $16.98 / $32.36	Facility		$12.02	$16.98	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,513.56 / $3,090.30	Facility		$602.56	$1,513.56	$3,090.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $630.96 / $630.96	Facility		$602.56	$630.96	$630.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,630.27 / $3,630.78	Facility		$1,000.00	$2,630.27	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,230.27 / $2,511.89	Facility		$398.11	$1,230.27	$2,511.89