Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.53 / $1,614.00 / $3,500.00	Facility		$226.53	$1,614.00	$3,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $65.53 / $74.59 / $127.45	Facility	52	$65.53	$74.59	$127.45
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.84 / $74.59 / $201.20	Facility	53	$29.84	$74.59	$201.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.96 / $225.38 / $439.63	Professional		$132.96	$225.38	$439.63
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $29.84 / $74.55 / $170.53	Professional	53	$29.84	$74.55	$170.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.46 / $202.45 / $411.41	Professional		$173.46	$202.45	$411.41
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $85.12 / $116.19 / $166.69	Professional	53	$85.12	$116.19	$166.69
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 / $587.07	Professional		$215.72	$380.33	$587.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $1,072.36 / $1,072.36	Facility		$162.16	$1,072.36	$1,072.36
Christus Facility/Professional Facility Modifier 53 Low / Median / High Price $40.00 / $81.08 / $81.08	Facility	53	$40.00	$81.08	$81.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.68 / $650.00 / $820.00	Facility		$243.68	$650.00	$820.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $194.94 / $194.94 / $194.94	Facility	52	$194.94	$194.94	$194.94
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $48.74 / $48.74 / $48.74	Facility	53	$48.74	$48.74	$48.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.75 / $301.75 / $301.75	Professional		$301.75	$301.75	$301.75
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $144.07 / $144.07 / $268.16	Professional	53	$144.07	$144.07	$268.16
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 $285.08 / $457.14 / $703.83	Professional		$285.08	$457.14	$703.83
United Facility/Professional Professional Modifier 53 Low / Median / High Price $204.84 / $204.84 / $204.84	Professional	53	$204.84	$204.84	$204.84