Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,089.30 / $4,365.16	Facility		$380.19	$2,089.30	$4,365.16
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility	22	$1,096.48	$1,096.48	$1,096.48
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility	52	$2,041.74	$2,041.74	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $398.11 / $851.14	Professional		$190.55	$398.11	$851.14
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $194.98 / $331.13 / $831.76	Professional	52	$194.98	$331.13	$831.76
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $81.28 / $131.83 / $234.42	Professional	53	$81.28	$131.83	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $389.05	Professional		$165.96	$199.53	$389.05
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $42.66 / $57.54 / $173.78	Professional	52	$42.66	$57.54	$173.78
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $158.49 / $158.49 / $588.84	Professional	53	$158.49	$158.49	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,698.24 / $2,511.89	Facility		$933.25	$1,698.24	$2,511.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $676.08	Professional		$257.04	$398.11	$676.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,096.48 / $1,096.48	Facility		$173.78	$1,096.48	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $724.44 / $933.25	Facility		$338.84	$724.44	$933.25
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $407.38 / $407.38 / $407.38	Facility	22	$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	52	$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	53	$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $416.87 / $794.33	Professional		$213.80	$416.87	$794.33
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $263.03 / $263.03 / $263.03	Professional	53	$263.03	$263.03	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,230.27 / $3,162.28	Facility		$467.74	$1,230.27	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $380.19 / $724.44	Professional		$181.97	$380.19	$724.44