Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.31 / $1,520.00 / $3,500.00	Facility		$291.31	$1,520.00	$3,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $74.62 / $86.21 / $221.93	Facility	52	$74.62	$86.21	$221.93
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.85 / $34.47 / $88.77	Facility	53	$29.85	$34.47	$88.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.17 / $268.47 / $476.83	Professional		$97.17	$268.47	$476.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $116.04 / $164.63	Professional		$94.34	$116.04	$164.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $721.06 / $1,405.51 / $2,031.29	Facility		$721.06	$1,405.51	$2,031.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $205.63 / $471.61	Professional		$138.91	$205.63	$471.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $91.57 / $727.12 / $727.12	Facility		$91.57	$727.12	$727.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.49 / $525.00 / $815.00	Facility		$179.49	$525.00	$815.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $143.59 / $143.59 / $143.59	Facility	52	$143.59	$143.59	$143.59
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.90 / $35.90 / $35.90	Facility	53	$35.90	$35.90	$35.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.75 / $259.67 / $500.05	Professional		$113.75	$259.67	$500.05
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 $248.08 / $363.81 / $599.20	Professional		$248.08	$363.81	$599.20