Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.05 / $89.76 / $109.38	Facility		$76.05	$89.76	$109.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.07 / $78.14 / $126.60	Professional		$57.07	$78.14	$126.60
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $57.00 / $78.51 / $266.29	Professional	25	$57.00	$78.51	$266.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $74.70 / $125.73	Professional		$61.09	$74.70	$125.73
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $70.14 / $96.10 / $183.92	Professional	25	$70.14	$96.10	$183.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.69 / $55.04 / $91.34	Facility		$40.69	$55.04	$91.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $87.16 / $144.56	Professional		$61.24	$87.16	$144.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $65.18 / $78.98 / $78.98	Facility		$65.18	$78.98	$78.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.27 / $100.27 / $100.27	Facility		$100.27	$100.27	$100.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.94 / $84.59 / $139.50	Professional		$62.94	$84.59	$139.50
United Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $89.59 / $142.07	Professional		$67.84	$89.59	$142.07
United Facility/Professional Professional Modifier 25 Low / Median / High Price $99.10 / $99.10 / $99.10	Professional	25	$99.10	$99.10	$99.10