Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,513.56 / $3,981.07	Facility		$446.68	$1,513.56	$3,981.07
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility	22	$1,258.93	$1,258.93	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $218.78 / $691.83	Professional		$66.07	$218.78	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $128.82 / $309.03	Professional		$74.13	$128.82	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,412.54 / $2,238.72	Facility		$741.31	$1,412.54	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $575.44	Professional		$181.97	$275.42	$575.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $549.54 / $549.54	Facility		$120.23	$549.54	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $691.83 / $812.83	Facility		$234.42	$691.83	$812.83
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	22	$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $186.21 / $186.21 / $186.21	Facility	52	$186.21	$186.21	$186.21
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.77 / $46.77 / $46.77	Facility	53	$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $338.84 / $645.65	Professional		$154.88	$338.84	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,318.26 / $3,388.44	Facility		$467.74	$1,318.26	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $309.03 / $562.34	Professional		$125.89	$309.03	$562.34