Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.00 / $1,236.00 / $3,685.00	Facility		$297.00	$1,236.00	$3,685.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $65.80 / $100.87 / $258.04	Facility	52	$65.80	$100.87	$258.04
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $26.32 / $40.35 / $103.21	Facility	53	$26.32	$40.35	$103.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.19 / $315.49 / $614.79	Professional		$114.19	$315.49	$614.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $100.90 / $118.86	Professional		$100.90	$100.90	$118.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $683.67 / $1,287.19 / $1,948.62	Facility		$683.67	$1,287.19	$1,948.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.05 / $208.96 / $472.08	Professional		$122.05	$208.96	$472.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $330.50 / $330.50 / $330.50	Facility		$330.50	$330.50	$330.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $217.05 / $471.15	Professional		$116.28	$217.05	$471.15
United Facility/Professional Facility Modifier Low / Median / High Price $341.00 / $1,049.00 / $2,271.00	Facility		$341.00	$1,049.00	$2,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $277.87 / $488.67 / $1,057.21	Professional		$277.87	$488.67	$1,057.21