Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.00 / $1,631.86 / $3,728.00	Facility		$389.00	$1,631.86	$3,728.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,257.00 / $1,257.00 / $1,257.00	Facility	22	$1,257.00	$1,257.00	$1,257.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $96.04 / $110.52 / $275.87	Facility	52	$96.04	$110.52	$275.87
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $38.42 / $44.21 / $110.35	Facility	53	$38.42	$44.21	$110.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.05 / $283.01 / $551.74	Professional		$140.05	$283.01	$551.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $150.77 / $341.61	Professional		$73.02	$150.77	$341.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $634.73 / $1,405.46 / $2,234.36	Facility		$634.73	$1,405.46	$2,234.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $271.75 / $605.65	Professional		$182.24	$271.75	$605.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $121.44 / $542.02 / $542.02	Facility		$121.44	$542.02	$542.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $650.00 / $820.00	Facility		$232.12	$650.00	$820.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $185.70 / $185.70 / $185.70	Facility	52	$185.70	$185.70	$185.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.42 / $46.42 / $46.42	Facility	53	$46.42	$46.42	$46.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.01 / $335.76 / $635.74	Professional		$148.01	$335.76	$635.74
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 $306.89 / $440.64 / $702.86	Professional		$306.89	$440.64	$702.86