Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,995.26 / $3,630.78	Facility		$446.68	$1,995.26	$3,630.78
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility	52	$6,606.93	$6,606.93	$6,606.93
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $128.82 / $199.53 / $251.19	Facility	53	$128.82	$199.53	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $331.13 / $776.25	Professional		$177.83	$331.13	$776.25
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $83.18 / $147.91 / $257.04	Professional	53	$83.18	$147.91	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $316.23	Professional		$151.36	$177.83	$316.23
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $43.65 / $83.18 / $151.36	Professional	53	$43.65	$83.18	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,445.44 / $2,238.72	Facility		$741.31	$1,445.44	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $537.03	Professional		$239.88	$363.08	$537.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $831.76 / $831.76	Facility		$162.18	$831.76	$831.76
Christus Facility/Professional Facility Modifier 53 Low / Median / High Price $39.81 / $81.28 / $81.28	Facility	53	$39.81	$81.28	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $676.08 / $812.83	Facility		$309.03	$676.08	$812.83
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $371.54 / $371.54 / $371.54	Facility	22	$371.54	$371.54	$371.54
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	52	$251.19	$251.19	$251.19
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	53	$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $630.96	Professional		$199.53	$346.74	$630.96
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $144.54 / $204.17 / $269.15	Professional	53	$144.54	$204.17	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,202.26 / $2,951.21	Facility		$467.74	$1,202.26	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $309.03 / $575.44	Professional		$169.82	$309.03	$575.44
United Facility/Professional Professional Modifier 53 Low / Median / High Price $218.78 / $218.78 / $218.78	Professional	53	$218.78	$218.78	$218.78