Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.11 / $973.00 / $3,200.00	Facility		$219.11	$973.00	$3,200.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $886.57 / $1,733.07 / $2,980.01	Facility	50	$886.57	$1,733.07	$2,980.01
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $32.09 / $42.89 / $70.41	Facility	53	$32.09	$42.89	$70.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $219.71 / $356.51	Professional		$104.60	$219.71	$356.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $150.56 / $287.43 / $885.64	Professional	50	$150.56	$287.43	$885.64
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $22.16 / $38.36 / $70.41	Professional	53	$22.16	$38.36	$70.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.73 / $225.92 / $302.22	Professional		$102.73	$225.92	$302.22
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $158.78 / $196.15 / $453.33	Professional	50	$158.78	$196.15	$453.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.99 / $1,242.89 / $1,951.52	Facility		$382.99	$1,242.89	$1,951.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.91 / $210.10 / $371.50	Professional		$133.91	$210.10	$371.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $97.83 / $723.90 / $723.90	Facility		$97.83	$723.90	$723.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $425.00 / $425.00	Facility		$425.00	$425.00	$425.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.14 / $190.64 / $364.85	Professional		$118.14	$190.64	$364.85
United Facility/Professional Facility Modifier Low / Median / High Price $341.00 / $1,086.00 / $2,755.00	Facility		$341.00	$1,086.00	$2,755.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.30 / $274.45 / $507.26	Professional		$194.30	$274.45	$507.26