Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.15 / $1,300.00 / $3,500.00	Facility		$196.15	$1,300.00	$3,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $85.30 / $98.08 / $208.64	Facility	52	$85.30	$98.08	$208.64
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $34.11 / $39.22 / $83.46	Facility	53	$34.11	$39.22	$83.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.21 / $261.87 / $448.00	Professional		$127.21	$261.87	$448.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.11 / $129.88 / $210.02	Professional		$67.11	$129.88	$210.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $621.63 / $1,405.46 / $2,234.36	Facility		$621.63	$1,405.46	$2,234.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.05 / $241.51 / $483.33	Professional		$159.05	$241.51	$483.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $108.56 / $513.84 / $513.84	Facility		$108.56	$513.84	$513.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.39 / $525.00 / $697.47	Facility		$206.39	$525.00	$697.47
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $165.11 / $165.11 / $165.11	Facility	52	$165.11	$165.11	$165.11
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.28 / $41.28 / $41.28	Facility	53	$41.28	$41.28	$41.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.52 / $276.52 / $488.79	Professional		$131.52	$276.52	$488.79
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 $239.04 / $348.45 / $546.83	Professional		$239.04	$348.45	$546.83