Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,524.00 / $3,884.00	Facility		$523.00	$1,524.00	$3,884.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $230.74 / $239.07 / $266.20	Facility	52	$230.74	$239.07	$266.20
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $92.30 / $95.63 / $106.48	Facility	53	$92.30	$95.63	$106.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.92 / $472.50 / $576.86	Professional		$332.92	$472.50	$576.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $304.83 / $304.83 / $361.30	Professional		$304.83	$304.83	$361.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,520.04 / $3,161.36 / $5,058.51	Facility		$1,520.04	$3,161.36	$5,058.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.79 / $473.94 / $609.91	Professional		$382.79	$473.94	$609.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $285.89 / $2,426.36 / $2,426.36	Facility		$285.89	$2,426.36	$2,426.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.67 / $525.00 / $1,936.96	Facility		$373.67	$525.00	$1,936.96
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $291.99 / $291.99 / $291.99	Facility	52	$291.99	$291.99	$291.99
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $73.00 / $73.00 / $73.00	Facility	53	$73.00	$73.00	$73.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.83 / $436.86 / $765.60	Professional		$304.83	$436.86	$765.60
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,429.00 / $4,010.00	Facility		$464.00	$1,429.00	$4,010.00
United Facility/Professional Professional Modifier Low / Median / High Price $294.19 / $423.88 / $697.68	Professional		$294.19	$423.88	$697.68