Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.00 / $1,155.00 / $3,500.00	Facility		$398.00	$1,155.00	$3,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $201.71 / $238.46 / $301.60	Facility	54	$201.71	$238.46	$301.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.49 / $317.95 / $425.93	Professional		$243.49	$317.95	$425.93
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $170.36 / $256.57 / $321.70	Professional	54	$170.36	$256.57	$321.70
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $31.94 / $50.10 / $63.89	Professional	55	$31.94	$50.10	$63.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $367.65 / $367.65 / $367.65	Professional		$367.65	$367.65	$367.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $502.32 / $999.77 / $1,471.52	Facility		$502.32	$999.77	$1,471.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.68 / $296.50 / $507.73	Professional		$248.68	$296.50	$507.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $476.04 / $476.04 / $476.04	Facility		$476.04	$476.04	$476.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Facility		$451.00	$451.00	$451.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.85 / $273.39 / $404.41	Professional		$200.85	$273.39	$404.41
United Facility/Professional Facility Modifier Low / Median / High Price $341.00 / $1,049.00 / $2,271.00	Facility		$341.00	$1,049.00	$2,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $201.82 / $290.11 / $561.71	Professional		$201.82	$290.11	$561.71