Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,288.25 / $3,715.35	Facility		$398.11	$1,288.25	$3,715.35
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $52.48 / $63.10	Facility	26	$52.48	$52.48	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $229.09 / $467.74	Professional		$134.90	$229.09	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $47.86 / $85.11	Professional	26	$36.31	$47.86	$85.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $158.49 / $239.88	Professional	TC	$85.11	$158.49	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $141.25 / $177.83	Professional		$125.89	$141.25	$177.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $42.66 / $44.67	Professional	26	$31.62	$42.66	$44.67
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $95.50 / $109.65	Professional	TC	$95.50	$95.50	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $181.97 / $338.84	Facility		$0.02	$181.97	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $295.12	Professional		$204.17	$245.47	$295.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $54.95 / $66.07	Professional	26	$46.77	$54.95	$66.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $190.55 / $229.09	Professional	TC	$128.82	$190.55	$229.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $134.90 / $134.90	Facility		$39.81	$134.90	$134.90
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $54.95 / $54.95	Professional	26	$39.81	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $288.40	Professional		$123.03	$190.55	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $54.95 / $77.62	Professional	26	$38.90	$54.95	$77.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $138.04 / $213.80	Professional	TC	$89.13	$138.04	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $512.86 / $1,258.93	Facility		$208.93	$512.86	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $316.23	Professional		$128.82	$190.55	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $51.29 / $85.11	Professional	26	$36.31	$51.29	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $138.04 / $223.87	Professional	TC	$87.10	$138.04	$223.87