Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.26 / $1,236.00 / $3,500.00	Facility		$188.26	$1,236.00	$3,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $38.57 / $44.14 / $128.06	Facility	52	$38.57	$44.14	$128.06
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.43 / $51.22 / $2,030.49	Facility	53	$15.43	$51.22	$2,030.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.84 / $126.53 / $256.12	Professional		$56.84	$126.53	$256.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $52.39 / $94.30	Professional		$31.29	$52.39	$94.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.77 / $1,091.72 / $1,794.05	Facility		$259.77	$1,091.72	$1,794.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.61 / $118.80 / $285.02	Professional		$74.61	$118.80	$285.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $52.51 / $571.76 / $571.76	Facility		$52.51	$571.76	$571.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.68 / $488.00 / $575.00	Facility		$95.68	$488.00	$575.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $76.54 / $76.54 / $76.54	Facility	52	$76.54	$76.54	$76.54
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.14 / $19.14 / $19.14	Facility	53	$19.14	$19.14	$19.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.94 / $153.47 / $310.95	Professional		$60.94	$153.47	$310.95
United Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $1,049.00 / $2,271.00	Facility		$334.00	$1,049.00	$2,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.77 / $189.07 / $326.26	Professional		$139.77	$189.07	$326.26