Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,501.33 / $3,500.00	Facility		$400.00	$1,501.33	$3,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $114.95 / $132.40 / $289.04	Facility	52	$114.95	$132.40	$289.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.40 / $264.80 / $642.08	Professional		$166.40	$264.80	$642.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.56 / $231.54 / $444.84	Professional		$154.56	$231.54	$444.84
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 $218.38 / $362.90 / $638.86	Professional		$218.38	$362.90	$638.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $145.46 / $434.24 / $434.24	Facility		$145.46	$434.24	$434.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.89 / $650.00 / $820.00	Facility		$278.89	$650.00	$820.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $223.11 / $223.11 / $223.11	Facility	52	$223.11	$223.11	$223.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.44 / $344.00 / $699.60	Professional		$177.44	$344.00	$699.60
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 $249.98 / $387.52 / $736.40	Professional		$249.98	$387.52	$736.40