Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $199.53 / $213.80	Facility		$165.96	$199.53	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $501.19	Professional		$141.25	$208.93	$501.19
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $165.96 / $281.84 / $660.69	Professional	25	$165.96	$281.84	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $302.00	Professional		$158.49	$208.93	$302.00
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $169.82 / $208.93 / $281.84	Professional	25	$169.82	$208.93	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $269.15 / $302.00	Facility		$234.42	$269.15	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $239.88	Professional		$169.82	$199.53	$239.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $186.21 / $186.21	Facility		$158.49	$186.21	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $154.88 / $239.88	Facility		$125.89	$154.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $389.05	Professional		$158.49	$208.93	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $281.84	Professional		$138.04	$190.55	$281.84