Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.72 / $143.60 / $208.31	Facility		$110.72	$143.60	$208.31
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $103.86 / $508.30 / $508.30	Facility	25	$103.86	$508.30	$508.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $136.07 / $259.99	Professional		$95.64	$136.07	$259.99
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $130.43 / $193.06 / $508.20	Professional	25	$130.43	$193.06	$508.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.12 / $171.16 / $240.70	Professional		$134.12	$171.16	$240.70
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $141.27 / $166.20 / $249.30	Professional	25	$141.27	$166.20	$249.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.91 / $176.00 / $200.23	Facility		$152.91	$176.00	$200.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.15 / $145.58 / $202.21	Professional		$104.15	$145.58	$202.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $124.25 / $150.02 / $150.02	Facility		$124.25	$150.02	$150.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $145.00 / $175.00	Facility		$125.00	$145.00	$175.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.34 / $153.79 / $234.01	Professional		$116.34	$153.79	$234.01
United Facility/Professional Professional Modifier Low / Median / High Price $112.60 / $148.33 / $224.53	Professional		$112.60	$148.33	$224.53