Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,756.00 / $7,209.00	Facility		$900.00	$2,756.00	$7,209.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $726.32 / $726.32 / $922.16	Facility	54	$726.32	$726.32	$922.16
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $145.26 / $145.26 / $184.43	Facility	55	$145.26	$145.26	$184.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.05 / $1,171.33 / $2,009.00	Professional		$772.05	$1,171.33	$2,009.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $558.11 / $785.75 / $976.73	Professional	54	$558.11	$785.75	$976.73
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $111.62 / $175.70 / $195.35	Professional	55	$111.62	$175.70	$195.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $799.58 / $799.58 / $799.58	Professional		$799.58	$799.58	$799.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,157.15 / $3,799.88 / $5,942.27	Facility		$2,157.15	$3,799.88	$5,942.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $859.37 / $1,072.07 / $1,385.27	Professional		$859.37	$1,072.07	$1,385.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,712.13 / $1,712.13 / $1,712.13	Facility		$1,712.13	$1,712.13	$1,712.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,325.00 / $1,325.00 / $1,325.00	Facility		$1,325.00	$1,325.00	$1,325.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.23 / $859.57 / $1,238.30	Professional		$537.23	$859.57	$1,238.30
United Facility/Professional Facility Modifier Low / Median / High Price $746.00 / $2,415.00 / $6,585.00	Facility		$746.00	$2,415.00	$6,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $625.76 / $864.56 / $1,720.29	Professional		$625.76	$864.56	$1,720.29