Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.20 / $80.06 / $284.92	Facility		$54.20	$80.06	$284.92
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $52.73 / $460.90 / $508.30	Facility	25	$52.73	$460.90	$508.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $71.17 / $147.28	Professional		$48.31	$71.17	$147.28
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.06 / $85.25 / $206.42	Professional	25	$37.06	$85.25	$206.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $254.64 / $262.68 / $271.76	Professional	50	$254.64	$262.68	$271.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.70 / $83.70 / $110.65	Professional		$62.70	$83.70	$110.65
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $69.48 / $86.62 / $138.96	Professional	25	$69.48	$86.62	$138.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.36 / $80.98 / $110.72	Facility		$70.36	$80.98	$110.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.89 / $73.16 / $101.23	Professional		$55.89	$73.16	$101.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $56.88 / $62.72 / $62.72	Facility		$56.88	$62.72	$62.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.50 / $140.00 / $168.00	Facility		$72.50	$140.00	$168.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $55.05 / $55.05 / $55.05	Facility	62	$55.05	$55.05	$55.05
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $8.81 / $8.81 / $8.81	Facility	AS	$8.81	$8.81	$8.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $75.34 / $113.79	Professional		$53.52	$75.34	$113.79
United Facility/Professional Professional Modifier Low / Median / High Price $54.61 / $75.11 / $114.23	Professional		$54.61	$75.11	$114.23