Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $89.13 / $100.00	Facility		$79.43	$89.13	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $112.20	Professional		$70.79	$89.13	$112.20
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $162.18 / $162.18 / $162.18	Professional	25	$162.18	$162.18	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $112.20	Professional		$75.86	$95.50	$112.20
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $81.28 / $93.33 / $107.15	Professional	25	$81.28	$93.33	$107.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $117.49	Professional		$107.15	$107.15	$117.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $87.10 / $87.10	Facility		$39.81	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $177.83	Professional		$70.79	$107.15	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $134.90	Professional		$66.07	$93.33	$134.90