Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.88 / $1,295.91 / $3,500.00	Facility		$283.88	$1,295.91	$3,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $123.29 / $141.94 / $277.91	Facility	52	$123.29	$141.94	$277.91
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $49.32 / $56.78 / $111.16	Facility	53	$49.32	$56.78	$111.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.38 / $283.88 / $566.42	Professional		$179.38	$283.88	$566.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.71 / $208.40 / $299.13	Professional		$98.71	$208.40	$299.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $774.28 / $1,405.46 / $2,234.36	Facility		$774.28	$1,405.46	$2,234.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.39 / $388.96 / $615.96	Professional		$232.39	$388.96	$615.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $154.63 / $727.12 / $727.12	Facility		$154.63	$727.12	$727.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.61 / $650.00 / $820.00	Facility		$296.61	$650.00	$820.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $237.29 / $237.29 / $237.29	Facility	52	$237.29	$237.29	$237.29
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $59.32 / $59.32 / $59.32	Facility	53	$59.32	$59.32	$59.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.34 / $352.06 / $653.33	Professional		$190.34	$352.06	$653.33
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 $264.57 / $373.41 / $708.04	Professional		$264.57	$373.41	$708.04