Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.12 / $69.72 / $83.80	Facility		$49.12	$69.72	$83.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $64.93 / $93.56	Professional		$42.47	$64.93	$93.56
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $61.33 / $113.88 / $258.02	Professional	25	$61.33	$113.88	$258.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $67.78 / $107.84	Professional		$49.28	$67.78	$107.84
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $55.56 / $67.78 / $107.84	Professional	25	$55.56	$67.78	$107.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $80.39 / $110.72	Facility		$69.84	$80.39	$110.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.66 / $68.73 / $97.10	Professional		$46.66	$68.73	$97.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.67 / $42.80 / $42.80	Facility		$40.67	$42.80	$42.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $140.00 / $168.00	Facility		$66.00	$140.00	$168.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.56 / $65.56 / $103.48	Professional		$41.56	$65.56	$103.48
United Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $74.95 / $115.90	Professional		$58.82	$74.95	$115.90