Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,768.00 / $4,392.00	Facility		$400.00	$1,768.00	$4,392.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $36.38 / $41.24 / $141.37	Facility	53	$36.38	$41.24	$141.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.89 / $421.35 / $756.45	Professional		$181.89	$421.35	$756.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $203.99 / $203.99 / $449.63	Professional		$203.99	$203.99	$449.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $742.81 / $1,483.64 / $3,298.63	Facility		$742.81	$1,483.64	$3,298.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.67 / $315.91 / $728.92	Professional		$177.67	$315.91	$728.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $936.57 / $936.57 / $936.57	Facility		$936.57	$936.57	$936.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.99 / $469.86 / $906.91	Professional		$169.99	$469.86	$906.91
United Facility/Professional Facility Modifier Low / Median / High Price $470.00 / $1,429.00 / $4,010.00	Facility		$470.00	$1,429.00	$4,010.00
United Facility/Professional Professional Modifier Low / Median / High Price $551.44 / $785.32 / $1,253.32	Professional		$551.44	$785.32	$1,253.32