Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $165.96 / $190.55	Facility		$158.49	$165.96	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $199.53	Professional		$128.82	$162.18	$199.53
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	25	$229.09	$229.09	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $190.55	Professional		$134.90	$169.82	$190.55
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $138.04 / $158.49 / $181.97	Professional	25	$138.04	$158.49	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $218.78	Professional		$181.97	$181.97	$218.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $169.82 / $169.82	Facility		$39.81	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $302.00	Professional		$131.83	$190.55	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $245.47	Professional		$109.65	$162.18	$245.47