Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.52 / $1,524.00 / $3,500.00	Facility		$219.52	$1,524.00	$3,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $65.22 / $74.20 / $127.07	Facility	52	$65.22	$74.20	$127.07
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.68 / $72.78 / $135.72	Facility	53	$29.68	$72.78	$135.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.32 / $225.38 / $440.00	Professional		$132.32	$225.38	$440.00
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $29.77 / $74.18 / $170.25	Professional	53	$29.77	$74.18	$170.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.16 / $229.66 / $278.04	Professional		$173.16	$229.66	$278.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.86 / $1,356.66 / $1,905.63	Facility		$568.86	$1,356.66	$1,905.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.72 / $380.33 / $586.26	Professional		$215.72	$380.33	$586.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $161.86 / $844.53 / $844.53	Facility		$161.86	$844.53	$844.53
Christus Facility/Professional Facility Modifier 53 Low / Median / High Price $40.00 / $80.78 / $80.78	Facility	53	$40.00	$80.78	$80.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.26 / $650.00 / $820.00	Facility		$243.26	$650.00	$820.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $194.61 / $194.61 / $194.61	Facility	52	$194.61	$194.61	$194.61
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $48.65 / $48.65 / $48.65	Facility	53	$48.65	$48.65	$48.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $301.45	Professional		$301.45	$301.45	$301.45
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $143.54 / $143.54 / $267.63	Professional	53	$143.54	$143.54	$267.63
United Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $822.00 / $1,944.00	Facility		$334.00	$822.00	$1,944.00
United Facility/Professional Professional Modifier Low / Median / High Price $286.33 / $448.28 / $703.83	Professional		$286.33	$448.28	$703.83
United Facility/Professional Professional Modifier 53 Low / Median / High Price $204.61 / $204.61 / $204.61	Professional	53	$204.61	$204.61	$204.61