Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,160.00 / $1,160.00 / $1,160.00	Facility		$1,160.00	$1,160.00	$1,160.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $18.00 / $45.00	Facility		$12.00	$18.00	$45.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $1,325.00 / $2,522.00	Facility		$572.00	$1,325.00	$2,522.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $630.00 / $630.00	Facility		$600.00	$630.00	$630.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,098.36 / $1,577.91 / $3,367.88	Facility		$1,098.36	$1,577.91	$3,367.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $1,236.00 / $2,522.00	Facility		$572.00	$1,236.00	$2,522.00