Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.87 / $287.00 / $2,386.08	Facility		$222.87	$287.00	$2,386.08
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $515.00 / $1,782.68 / $2,427.10	Facility	25	$515.00	$1,782.68	$2,427.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.16 / $239.91 / $446.70	Professional		$184.16	$239.91	$446.70
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $198.04 / $393.48 / $1,353.20	Professional	25	$198.04	$393.48	$1,353.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.62 / $235.70 / $526.00	Professional		$195.62	$235.70	$526.00
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $200.00 / $235.70 / $539.04	Professional	25	$200.00	$235.70	$539.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $893.32 / $1,560.23 / $3,550.43	Facility		$893.32	$1,560.23	$3,550.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.00 / $289.49 / $399.14	Professional		$237.00	$289.49	$399.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $196.85 / $268.70 / $268.70	Facility		$196.85	$268.70	$268.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.33 / $2,020.00 / $4,613.00	Facility		$286.33	$2,020.00	$4,613.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.99 / $269.83 / $481.07	Professional		$186.99	$269.83	$481.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.56 / $1,020.56 / $1,020.56	Facility		$1,020.56	$1,020.56	$1,020.56
United Facility/Professional Professional Modifier Low / Median / High Price $219.26 / $282.98 / $443.02	Professional		$219.26	$282.98	$443.02