Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,636.00 / $4,050.00	Facility		$900.00	$2,636.00	$4,050.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $881.56 / $906.43 / $1,009.29	Facility	52	$881.56	$906.43	$1,009.29
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $352.62 / $362.57 / $403.72	Facility	53	$352.62	$362.57	$403.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,844.18 / $9,048.21 / $13,641.32	Facility		$3,844.18	$9,048.21	$13,641.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $585.27 / $585.27 / $1,110.59	Facility		$585.27	$585.27	$1,110.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $675.00 / $1,391.39	Facility		$488.00	$675.00	$1,391.39
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,091.32 / $1,091.32 / $1,091.32	Facility	52	$1,091.32	$1,091.32	$1,091.32
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $272.83 / $272.83 / $272.83	Facility	53	$272.83	$272.83	$272.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $136.41 / $136.41 / $136.41	Facility	AS	$136.41	$136.41	$136.41
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,261.00 / $7,168.00	Facility		$385.00	$1,261.00	$7,168.00