Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $4,392.00 / $23,480.15	Facility		$1,240.00	$4,392.00	$23,480.15
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,135.00 / $3,375.00 / $5,775.00	Facility	50	$3,135.00	$3,375.00	$5,775.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,278.71 / $1,332.43 / $2,248.48	Facility	54	$1,278.71	$1,332.43	$2,248.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,218.22 / $1,704.94 / $2,542.94	Professional		$1,218.22	$1,704.94	$2,542.94
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $170.88 / $170.88 / $363.36	Professional	AS	$170.88	$170.88	$363.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,316.15 / $1,432.38 / $2,153.56	Professional		$1,316.15	$1,432.38	$2,153.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,973.09 / $15,427.92 / $27,360.92	Facility		$8,973.09	$15,427.92	$27,360.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,430.15 / $1,891.54 / $2,487.54	Professional		$1,430.15	$1,891.54	$2,487.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,132.53 / $11,510.65 / $11,510.65	Facility		$1,132.53	$11,510.65	$11,510.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Facility		$400.00	$400.00	$400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.54 / $1,806.68 / $2,490.71	Professional		$1,237.54	$1,806.68	$2,490.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,215.00 / $9,403.00 / $23,200.00	Facility		$1,215.00	$9,403.00	$23,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,201.28 / $1,625.26 / $2,716.98	Professional		$1,201.28	$1,625.26	$2,716.98