Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $208.93	Professional		$87.10	$109.65	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $89.13 / $97.72	Professional		$87.10	$89.13	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $134.90	Professional		$102.33	$123.03	$134.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $95.50	Facility		$87.10	$87.10	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $245.47	Professional		$95.50	$131.83	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $177.83	Professional		$85.11	$107.15	$177.83