Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $89.13 / $102.33	Facility		$83.18	$89.13	$102.33
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $50.12 / $60.26	Facility	26	$50.12	$50.12	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $79.43 / $251.19	Professional		$43.65	$79.43	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $42.66 / $91.20	Professional	26	$25.12	$42.66	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $33.88 / $147.91	Professional	TC	$25.12	$33.88	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.20 / $53.70	Professional		$26.92	$30.20	$53.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $39.81 / $42.66	Professional	26	$29.51	$39.81	$42.66
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $12.02 / $12.02	Professional	TC	$12.02	$12.02	$12.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $257.04 / $371.54	Facility		$154.88	$257.04	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $117.49	Professional		$70.79	$89.13	$117.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $52.48 / $67.61	Professional	26	$41.69	$52.48	$67.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $36.31 / $47.86	Professional	TC	$30.20	$36.31	$47.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $123.03 / $123.03	Facility		$39.81	$123.03	$123.03
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $19.50 / $39.81	Professional	26	$19.50	$19.50	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $275.42	Professional		$66.07	$100.00	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $58.88 / $117.49	Professional	26	$37.15	$58.88	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $41.69 / $177.83	Professional	TC	$26.30	$41.69	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $416.87 / $1,202.26	Facility		$177.83	$416.87	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $288.40	Professional		$60.26	$107.15	$288.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $58.88 / $114.82	Professional	26	$34.67	$58.88	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $42.66 / $162.18	Professional	TC	$25.12	$42.66	$162.18