Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $104.71 / $117.49	Facility		$75.86	$104.71	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $263.03	Professional		$64.57	$104.71	$263.03
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $70.79 / $117.49 / $269.15	Professional	25	$70.79	$117.49	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $147.91	Professional		$75.86	$107.15	$147.91
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $85.11 / $107.15 / $147.91	Professional	25	$85.11	$107.15	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $120.23 / $144.54	Facility		$107.15	$120.23	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $120.23	Professional		$77.62	$95.50	$120.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $77.62 / $104.71	Facility		$70.79	$77.62	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $141.25 / $169.82	Facility		$104.71	$141.25	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $190.55	Professional		$74.13	$104.71	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $141.25	Professional		$63.10	$93.33	$141.25