Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $270.00 / $330.00	Facility		$45.00	$270.00	$330.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $48.00 / $432.00	Professional		$38.00	$48.00	$432.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,260.00 / $1,260.00 / $1,260.00	Professional	AA	$1,260.00	$1,260.00	$1,260.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $118.90 / $138.35 / $396.90	Professional	QZ	$118.90	$138.35	$396.90
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $153.00 / $153.00 / $153.00	Professional	QX	$153.00	$153.00	$153.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $119.34 / $119.34 / $408.00	Professional	QZ	$119.34	$119.34	$408.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.03	Facility		$0.02	$0.03	$0.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $47.00 / $55.00	Professional		$45.58	$47.00	$55.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $170.23 / $170.23 / $170.23	Facility		$170.23	$170.23	$170.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $283.25 / $420.00	Professional		$240.00	$283.25	$420.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $63.72	Professional		$40.00	$50.00	$63.72