Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,513.56 / $3,715.35	Facility		$398.11	$1,513.56	$3,715.35
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility	50	$3,090.30	$3,090.30	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $501.19	Professional		$107.15	$199.53	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $169.82	Professional		$93.33	$102.33	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,288.25 / $1,949.84	Facility		$676.08	$1,288.25	$1,949.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $467.74	Professional		$120.23	$208.93	$467.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $416.87 / $416.87	Facility		$39.81	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $218.78 / $524.81	Professional		$117.49	$218.78	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,000.00 / $2,187.76	Facility		$338.84	$1,000.00	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $269.15 / $724.44	Professional		$104.71	$269.15	$724.44