Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $4,737.72 / $17,298.73	Facility		$900.00	$4,737.72	$17,298.73
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $473.06 / $485.20 / $540.26	Facility	52	$473.06	$485.20	$540.26
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $189.22 / $194.08 / $216.10	Facility	53	$189.22	$194.08	$216.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.69 / $946.11 / $1,431.76	Professional		$632.69	$946.11	$1,431.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $712.18 / $744.56 / $930.78	Professional		$712.18	$744.56	$930.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,515.19 / $8,162.33 / $12,635.90	Facility		$3,515.19	$8,162.33	$12,635.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $840.47 / $959.41 / $1,214.43	Professional		$840.47	$959.41	$1,214.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $615.76 / $5,480.04 / $5,480.04	Facility		$615.76	$5,480.04	$5,480.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $725.00 / $2,145.00 / $6,240.00	Facility		$725.00	$2,145.00	$6,240.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $594.13 / $594.13 / $594.13	Facility	52	$594.13	$594.13	$594.13
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $148.53 / $148.53 / $148.53	Facility	53	$148.53	$148.53	$148.53
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.27 / $74.27 / $74.27	Facility	AS	$74.27	$74.27	$74.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $618.30 / $886.55 / $1,438.84	Professional		$618.30	$886.55	$1,438.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $5,780.00 / $12,805.00	Facility		$1,200.00	$5,780.00	$12,805.00
United Facility/Professional Professional Modifier Low / Median / High Price $588.67 / $831.07 / $1,382.25	Professional		$588.67	$831.07	$1,382.25