Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $1,778.28	Facility		$138.04	$138.04	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $147.91	Professional		$144.54	$144.54	$147.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $177.83	Facility		$128.82	$128.82	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $151.36	Facility		$138.04	$138.04	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $199.53	Professional		$138.04	$154.88	$199.53