Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $288.40 / $478.63	Facility		$44.67	$288.40	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $478.63	Professional		$32.36	$47.86	$478.63
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $436.52 / $489.78 / $588.84	Professional	AA	$436.52	$489.78	$588.84
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $269.15 / $426.58 / $549.54	Professional	QX	$269.15	$426.58	$549.54
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $295.12 / $309.03 / $489.78	Professional	QY	$295.12	$309.03	$489.78
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $134.90 / $407.38	Professional	QZ	$120.23	$134.90	$407.38
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $60.26 / $60.26 / $151.36	Professional	QX	$60.26	$60.26	$151.36
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $123.03 / $144.54 / $309.03	Professional	QZ	$123.03	$144.54	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $53.70	Professional		$52.48	$52.48	$53.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $398.11	Professional		$239.88	$281.84	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $63.10	Professional		$39.81	$48.98	$63.10