Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $41.31 / $82.40	Facility		$38.22	$41.31	$82.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $45.72 / $91.58	Professional		$29.98	$45.72	$91.58
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.33 / $91.58 / $136.00	Professional	25	$37.33	$91.58	$136.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.83 / $53.85 / $61.72	Professional		$46.83	$53.85	$61.72
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $53.85 / $53.85 / $81.43	Professional	25	$53.85	$53.85	$81.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.03	Facility		$0.02	$0.03	$0.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $46.23 / $70.11	Professional		$40.04	$46.23	$70.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.64 / $44.10 / $44.10	Facility		$43.64	$44.10	$44.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.54 / $56.54 / $56.54	Facility		$56.54	$56.54	$56.54
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $5.48 / $5.48 / $5.48	Facility	AS	$5.48	$5.48	$5.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $49.63 / $83.65	Professional		$35.81	$49.63	$83.65
United Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $42.45 / $64.09	Professional		$32.04	$42.45	$64.09