Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.18 / $206.85 / $262.75	Facility		$164.18	$206.85	$262.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.56 / $184.72 / $319.14	Professional		$139.56	$184.72	$319.14
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $125.00 / $241.05 / $682.67	Professional	25	$125.00	$241.05	$682.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.09 / $206.42 / $304.77	Professional		$172.09	$206.42	$304.77
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $200.11 / $225.13 / $306.99	Professional	25	$200.11	$225.13	$306.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.52 / $267.64 / $271.00	Facility		$232.52	$267.64	$271.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.71 / $212.46 / $307.66	Professional		$168.71	$212.46	$307.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $158.34 / $184.94 / $184.94	Facility		$158.34	$184.94	$184.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $154.50 / $240.00	Facility		$125.00	$154.50	$240.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.24 / $207.39 / $311.20	Professional		$153.24	$207.39	$311.20
United Facility/Professional Professional Modifier Low / Median / High Price $162.56 / $209.09 / $320.89	Professional		$162.56	$209.09	$320.89
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $80.00 / $88.00	Professional	25	$80.00	$80.00	$88.00