Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.42 / $1,614.00 / $4,326.54	Facility		$408.42	$1,614.00	$4,326.54
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $546.50 / $2,162.00 / $3,219.29	Facility	22	$546.50	$2,162.00	$3,219.29
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $177.17 / $204.21 / $336.69	Facility	52	$177.17	$204.21	$336.69
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $70.87 / $81.68 / $134.68	Facility	53	$70.87	$81.68	$134.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.87 / $450.00 / $704.11	Professional		$265.87	$450.00	$704.11
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $51.62 / $84.60 / $128.66	Professional	53	$51.62	$84.60	$128.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.43 / $276.85 / $420.17	Professional		$233.43	$276.85	$420.17
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 $329.18 / $503.85 / $791.89	Professional		$329.18	$503.85	$791.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $219.96 / $1,019.17 / $1,019.17	Facility		$219.96	$1,019.17	$1,019.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.66 / $650.00 / $877.00	Facility		$426.66	$650.00	$877.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $341.33 / $341.33 / $341.33	Facility	52	$341.33	$341.33	$341.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $85.33 / $85.33 / $85.33	Facility	53	$85.33	$85.33	$85.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.63 / $462.80 / $814.72	Professional		$269.63	$462.80	$814.72
United Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $1,204.00 / $3,130.00	Facility		$488.00	$1,204.00	$3,130.00
United Facility/Professional Professional Modifier Low / Median / High Price $379.53 / $563.29 / $914.52	Professional		$379.53	$563.29	$914.52