Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.54 / $129.53 / $2,501.00	Facility		$118.54	$129.53	$2,501.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $998.40 / $1,585.32 / $3,993.60	Facility	25	$998.40	$1,585.32	$3,993.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.03 / $115.39 / $248.95	Professional		$90.03	$115.39	$248.95
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $105.70 / $491.64 / $1,243.04	Professional	25	$105.70	$491.64	$1,243.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.13 / $117.77 / $179.22	Professional		$101.13	$117.77	$179.22
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $117.77 / $117.77 / $164.95	Professional	25	$117.77	$117.77	$164.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $962.41 / $1,072.75	Facility		$0.02	$962.41	$1,072.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.94 / $137.77 / $200.25	Professional		$115.94	$137.77	$200.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $106.78 / $106.78	Facility		$99.06	$106.78	$106.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.15 / $2,020.00 / $4,613.00	Facility		$143.15	$2,020.00	$4,613.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.68 / $124.15 / $227.16	Professional		$90.68	$124.15	$227.16
United Facility/Professional Professional Modifier Low / Median / High Price $97.29 / $125.95 / $195.60	Professional		$97.29	$125.95	$195.60
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $90.00 / $234.81	Professional	25	$80.00	$90.00	$234.81