Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.56 / $1,236.00 / $3,500.00	Facility		$383.56	$1,236.00	$3,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $228.29 / $287.67 / $361.91	Facility	54	$228.29	$287.67	$361.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.80 / $376.39 / $687.29	Professional		$243.80	$376.39	$687.29
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $183.13 / $287.67 / $383.33	Professional	54	$183.13	$287.67	$383.33
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $36.63 / $57.53 / $76.67	Professional	55	$36.63	$57.53	$76.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.91 / $267.91 / $267.91	Professional		$267.91	$267.91	$267.91
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 $284.51 / $348.36 / $429.85	Professional		$284.51	$348.36	$429.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $228.10 / $228.10 / $228.10	Facility		$228.10	$228.10	$228.10
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 $229.80 / $317.24 / $458.79	Professional		$229.80	$317.24	$458.79
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 $246.96 / $337.04 / $675.14	Professional		$246.96	$337.04	$675.14