Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,779.00 / $6,722.78	Facility		$900.00	$3,779.00	$6,722.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,308.67 / $8,308.67 / $8,308.67	Facility	50	$8,308.67	$8,308.67	$8,308.67
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $140.99 / $140.99 / $178.93	Facility	53	$140.99	$140.99	$178.93
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $528.73 / $528.73 / $670.97	Facility	54	$528.73	$528.73	$670.97
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $105.75 / $105.75 / $134.19	Facility	55	$105.75	$105.75	$134.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.30 / $885.47 / $3,384.64	Professional		$543.30	$885.47	$3,384.64
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $271.66 / $426.14 / $473.79	Professional	52	$271.66	$426.14	$473.79
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $407.48 / $571.72 / $710.68	Professional	54	$407.48	$571.72	$710.68
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $81.50 / $114.34 / $142.13	Professional	55	$81.50	$114.34	$142.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $565.66 / $583.29 / $820.36	Professional		$565.66	$583.29	$820.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,157.15 / $3,799.88 / $5,942.27	Facility		$2,157.15	$3,799.88	$5,942.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.75 / $781.65 / $1,090.18	Professional		$626.75	$781.65	$1,090.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,695.29 / $1,695.29 / $1,695.29	Facility		$1,695.29	$1,695.29	$1,695.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,325.00 / $1,325.00 / $1,325.00	Facility		$1,325.00	$1,325.00	$1,325.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.80 / $626.88 / $904.39	Professional		$391.80	$626.88	$904.39
United Facility/Professional Facility Modifier Low / Median / High Price $826.00 / $2,653.00 / $6,661.00	Facility		$826.00	$2,653.00	$6,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.50 / $652.65 / $1,250.56	Professional		$456.50	$652.65	$1,250.56