Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.00 / $1,372.00 / $3,593.00	Facility		$398.00	$1,372.00	$3,593.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $139.52 / $160.72 / $316.37	Facility	52	$139.52	$160.72	$316.37
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $55.81 / $64.29 / $126.55	Facility	53	$55.81	$64.29	$126.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.88 / $404.66 / $632.74	Professional		$212.88	$404.66	$632.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.98 / $109.88 / $581.53	Professional		$83.98	$109.88	$581.53
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 $263.08 / $443.52 / $693.11	Professional		$263.08	$443.52	$693.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $174.76 / $641.05 / $641.05	Facility		$174.76	$641.05	$641.05
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 / $409.48 / $775.40	Professional		$214.76	$409.48	$775.40
United Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $1,222.00 / $3,559.00	Facility		$488.00	$1,222.00	$3,559.00
United Facility/Professional Professional Modifier Low / Median / High Price $361.25 / $518.91 / $829.20	Professional		$361.25	$518.91	$829.20