Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.83 / $1,000.00 / $3,500.00	Facility		$107.83	$1,000.00	$3,500.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $92.15 / $375.41 / $975.00	Facility	50	$92.15	$375.41	$975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $97.67 / $158.00	Professional		$57.53	$97.67	$158.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $155.78 / $155.78 / $155.78	Professional	50	$155.78	$155.78	$155.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $85.80 / $185.62 / $185.62	Professional	50	$85.80	$185.62	$185.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.17 / $423.75 / $1,298.94	Facility		$196.17	$423.75	$1,298.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $100.16 / $149.54	Professional		$72.70	$100.16	$149.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $50.19 / $399.36 / $399.36	Facility		$50.19	$399.36	$399.36
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 $63.96 / $101.64 / $154.49	Professional		$63.96	$101.64	$154.49
United Facility/Professional Facility Modifier Low / Median / High Price $194.00 / $543.00 / $1,560.00	Facility		$194.00	$543.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $115.81 / $212.90	Professional		$81.84	$115.81	$212.90
United Facility/Professional Professional Modifier 50 Low / Median / High Price $204.69 / $204.69 / $204.69	Professional	50	$204.69	$204.69	$204.69