Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.62 / $186.63 / $2,834.00	Facility		$148.62	$186.63	$2,834.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $600.00 / $929.20 / $2,947.00	Facility	25	$600.00	$929.20	$2,947.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $144.46 / $548.00 / $1,343.04	Professional	25	$144.46	$548.00	$1,343.04
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $161.84 / $194.76 / $445.42	Professional	25	$161.84	$194.76	$445.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $658.60 / $2,142.55 / $2,686.87	Facility		$658.60	$2,142.55	$2,686.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $169.53 / $231.35 / $231.35	Facility		$169.53	$231.35	$231.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,200.00 / $4,613.00	Facility		$875.00	$2,200.00	$4,613.00