Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.00 / $1,135.00 / $3,500.00	Facility		$124.00	$1,135.00	$3,500.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $650.00 / $650.00 / $650.00	Facility	50	$650.00	$650.00	$650.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.15 / $85.56 / $146.50	Professional		$50.15	$85.56	$146.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $136.02 / $136.02 / $136.02	Professional	50	$136.02	$136.02	$136.02
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $94.53 / $94.53 / $94.53	Professional	50	$94.53	$94.53	$94.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.77 / $423.75 / $1,298.94	Facility		$170.77	$423.75	$1,298.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $93.22 / $139.19	Professional		$63.54	$93.22	$139.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $44.56 / $317.14 / $317.14	Facility		$44.56	$317.14	$317.14
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 $54.87 / $89.11 / $142.87	Professional		$54.87	$89.11	$142.87
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 $75.45 / $105.01 / $193.58	Professional		$75.45	$105.01	$193.58