Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.71 / $110.35 / $353.10	Facility		$82.71	$110.35	$353.10
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $182.18 / $311.14 / $483.60	Facility	25	$182.18	$311.14	$483.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $101.95 / $201.32	Professional		$63.67	$101.95	$201.32
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $30.00 / $124.36 / $364.00	Professional	25	$30.00	$124.36	$364.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.01 / $118.16 / $159.52	Professional		$92.01	$118.16	$159.52
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $106.74 / $122.15 / $187.94	Professional	25	$106.74	$122.15	$187.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.37 / $124.74 / $146.04	Facility		$108.37	$124.74	$146.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $108.04 / $148.16	Professional		$82.40	$108.04	$148.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $83.67 / $105.38 / $105.38	Facility		$83.67	$105.38	$105.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $140.00 / $168.00	Facility		$105.00	$140.00	$168.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $108.37 / $165.43	Professional		$80.56	$108.37	$165.43
United Facility/Professional Professional Modifier Low / Median / High Price $78.94 / $107.12 / $157.66	Professional		$78.94	$107.12	$157.66