Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.81 / $914.00 / $3,500.00	Facility		$91.81	$914.00	$3,500.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.08 / $20.26 / $31.24	Facility	53	$15.08	$20.26	$31.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.04 / $96.65 / $158.16	Professional		$51.04	$96.65	$158.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $289.56 / $289.56 / $289.56	Professional	50	$289.56	$289.56	$289.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $101.87 / $136.61	Professional		$47.14	$101.87	$136.61
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $204.92 / $204.92 / $204.92	Professional	50	$204.92	$204.92	$204.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.92 / $576.73 / $1,446.36	Facility		$204.92	$576.73	$1,446.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $95.96 / $168.71	Professional		$62.87	$95.96	$168.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.28 / $430.42 / $430.42	Facility		$43.28	$430.42	$430.42
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 $54.21 / $90.16 / $166.54	Professional		$54.21	$90.16	$166.54
United Facility/Professional Facility Modifier Low / Median / High Price $194.00 / $543.00 / $1,560.00	Facility		$194.00	$543.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.48 / $122.93 / $232.18	Professional		$83.48	$122.93	$232.18