Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,520.00 / $3,500.00	Facility		$400.00	$1,520.00	$3,500.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $628.50 / $628.50 / $628.50	Facility	22	$628.50	$628.50	$628.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.37 / $314.16 / $708.61	Professional		$195.37	$314.16	$708.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.18 / $106.82 / $330.97	Professional		$102.18	$106.82	$330.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.25 / $1,939.93 / $3,525.79	Facility		$1,081.25	$1,939.93	$3,525.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.16 / $423.50 / $779.05	Professional		$257.16	$423.50	$779.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $170.20 / $1,374.83 / $1,374.83	Facility		$170.20	$1,374.83	$1,374.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.07 / $650.00 / $1,197.32	Facility		$329.07	$650.00	$1,197.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.94 / $398.32 / $839.56	Professional		$209.94	$398.32	$839.56
United Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $1,646.00 / $4,010.00	Facility		$488.00	$1,646.00	$4,010.00
United Facility/Professional Professional Modifier Low / Median / High Price $291.89 / $475.40 / $872.18	Professional		$291.89	$475.40	$872.18