Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.00 / $1,520.00 / $3,685.00	Facility		$398.00	$1,520.00	$3,685.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $140.83 / $145.53 / $162.04	Facility	52	$140.83	$145.53	$162.04
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $56.33 / $58.21 / $64.81	Facility	53	$56.33	$58.21	$64.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.25 / $1,939.93 / $3,571.74	Facility		$1,081.25	$1,939.93	$3,571.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $175.23 / $1,393.21 / $1,393.21	Facility		$175.23	$1,393.21	$1,393.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.67 / $650.00 / $1,197.32	Facility		$225.67	$650.00	$1,197.32
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $176.57 / $176.57 / $176.57	Facility	52	$176.57	$176.57	$176.57
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $44.14 / $44.14 / $44.14	Facility	53	$44.14	$44.14	$44.14
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $137.94 / $137.94 / $137.94	Facility	62	$137.94	$137.94	$137.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $22.07 / $22.07 / $22.07	Facility	AS	$22.07	$22.07	$22.07
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