Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.91 / $1,653.00 / $4,760.58	Facility		$377.91	$1,653.00	$4,760.58
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,093.00 / $1,093.00 / $1,093.00	Facility	22	$1,093.00	$1,093.00	$1,093.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $139.52 / $160.72 / $318.62	Facility	52	$139.52	$160.72	$318.62
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $55.81 / $64.29 / $127.45	Facility	53	$55.81	$64.29	$127.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.30 / $405.37 / $637.23	Professional		$224.30	$405.37	$637.23
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $101.54 / $196.60 / $318.62	Professional	52	$101.54	$196.60	$318.62
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $40.61 / $78.64 / $121.76	Professional	53	$40.61	$78.64	$121.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.08 / $219.77 / $333.14	Professional		$185.08	$219.77	$333.14
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $43.49 / $43.49 / $43.49	Professional	52	$43.49	$43.49	$43.49
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $163.82 / $163.82 / $163.82	Professional	53	$163.82	$163.82	$163.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $795.70 / $1,648.03 / $2,530.08	Facility		$795.70	$1,648.03	$2,530.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $400.12 / $750.23	Professional		$260.00	$400.12	$750.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $174.76 / $1,092.20 / $1,092.20	Facility		$174.76	$1,092.20	$1,092.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.16 / $650.00 / $877.00	Facility		$338.16	$650.00	$877.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $270.52 / $270.52 / $270.52	Facility	52	$270.52	$270.52	$270.52
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.63 / $67.63 / $67.63	Facility	53	$67.63	$67.63	$67.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.76 / $416.51 / $755.79	Professional		$214.76	$416.51	$755.79
United Facility/Professional Facility Modifier Low / Median / High Price $470.00 / $1,179.00 / $3,130.00	Facility		$470.00	$1,179.00	$3,130.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.97 / $533.48 / $835.08	Professional		$358.97	$533.48	$835.08