Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,949.84 / $3,548.13	Facility		$239.88	$1,949.84	$3,548.13
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $64.57 / $109.65 / $199.53	Facility	53	$64.57	$109.65	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $691.83	Professional		$154.88	$288.40	$691.83
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $64.57 / $117.49 / $213.80	Professional	53	$64.57	$117.49	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $331.13	Professional		$173.78	$181.97	$331.13
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $165.96 / $165.96 / $165.96	Professional	53	$165.96	$165.96	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,380.38 / $1,905.46	Facility		$724.44	$1,380.38	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $363.08 / $537.03	Professional		$213.80	$363.08	$537.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $870.96 / $870.96	Facility		$162.18	$870.96	$870.96
Christus Facility/Professional Facility Modifier 53 Low / Median / High Price $39.81 / $81.28 / $81.28	Facility	53	$39.81	$81.28	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $676.08 / $812.83	Facility		$371.54	$676.08	$812.83
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $446.68 / $446.68 / $446.68	Facility	22	$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $295.12 / $295.12 / $295.12	Facility	52	$295.12	$295.12	$295.12
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $74.13 / $74.13 / $74.13	Facility	53	$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $398.11	Professional		$302.00	$302.00	$398.11
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $144.54 / $204.17 / $269.15	Professional	53	$144.54	$204.17	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $977.24 / $2,187.76	Facility		$338.84	$977.24	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $309.03 / $588.84	Professional		$165.96	$309.03	$588.84
United Facility/Professional Professional Modifier 53 Low / Median / High Price $204.17 / $204.17 / $204.17	Professional	53	$204.17	$204.17	$204.17