Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $858.93 / $2,694.00 / $5,604.00	Facility		$858.93	$2,694.00	$5,604.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $171.79 / $171.79 / $218.72	Facility	53	$171.79	$171.79	$218.72
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $644.20 / $644.20 / $820.22	Facility	54	$644.20	$644.20	$820.22
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $128.84 / $128.84 / $164.04	Facility	55	$128.84	$128.84	$164.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.94 / $858.93 / $1,113.95	Professional		$584.94	$858.93	$1,113.95
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $102.32 / $139.78 / $173.75	Professional	55	$102.32	$139.78	$173.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,230.24 / $9,748.10 / $19,784.50	Facility		$5,230.24	$9,748.10	$19,784.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $787.57 / $898.68 / $1,126.80	Professional		$787.57	$898.68	$1,126.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $5,352.59 / $5,352.59 / $5,352.59	Facility		$5,352.59	$5,352.59	$5,352.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $848.00 / $848.00 / $848.00	Facility		$848.00	$848.00	$848.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.07 / $788.92 / $1,134.44	Professional		$493.07	$788.92	$1,134.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,141.00 / $4,913.00 / $10,959.00	Facility		$1,141.00	$4,913.00	$10,959.00
United Facility/Professional Professional Modifier Low / Median / High Price $570.22 / $748.41 / $1,410.09	Professional		$570.22	$748.41	$1,410.09