Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.45 / $1,236.00 / $3,500.00	Facility		$181.45	$1,236.00	$3,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.65 / $121.58 / $220.98	Professional		$64.65	$121.58	$220.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.87 / $123.87 / $123.87	Professional		$123.87	$123.87	$123.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.06 / $282.05 / $419.91	Facility		$166.06	$282.05	$419.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.86 / $110.11 / $212.78	Professional		$59.86	$110.11	$212.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $129.19 / $129.19 / $129.19	Facility		$129.19	$129.19	$129.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.17 / $110.76 / $193.10	Professional		$46.17	$110.76	$193.10
United Facility/Professional Professional Modifier Low / Median / High Price $128.96 / $161.38 / $271.68	Professional		$128.96	$161.38	$271.68