Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.20 / $108.19 / $264.61	Facility		$35.20	$108.19	$264.61
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.00 / $11.94 / $14.65	Facility	26	$9.00	$11.94	$14.65
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.63 / $39.95 / $324.16	Facility	TC	$26.63	$39.95	$324.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $38.68 / $60.75	Professional		$30.05	$38.68	$60.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.29 / $11.85 / $18.03	Professional	26	$7.29	$11.85	$18.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.00 / $26.74 / $47.26	Professional	TC	$21.00	$26.74	$47.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $39.43 / $39.43	Professional		$39.43	$39.43	$39.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $9.14 / $19.82	Professional	26	$8.13	$9.14	$19.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.84 / $118.37 / $271.33	Facility		$53.84	$118.37	$271.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.98 / $45.65 / $63.26	Professional		$40.98	$45.65	$63.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.27 / $13.39 / $22.50	Professional	26	$10.27	$13.39	$22.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.41 / $34.70 / $44.98	Professional	TC	$30.41	$34.70	$44.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $31.34 / $33.24 / $111.36	Facility		$31.34	$33.24	$111.36
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $23.40 / $23.40 / $25.79	Facility	TC	$23.40	$23.40	$25.79
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $7.94 / $8.58	Professional	26	$7.94	$7.94	$8.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $56.46 / $104.28	Facility		$35.90	$56.46	$104.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $37.84 / $63.07	Professional		$20.97	$37.84	$63.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.41 / $10.38 / $19.79	Professional	26	$5.41	$10.38	$19.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.56 / $27.42 / $45.50	Professional	TC	$15.56	$27.42	$45.50
United Facility/Professional Facility Modifier Low / Median / High Price $116.87 / $169.35 / $296.95	Facility		$116.87	$169.35	$296.95
United Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $38.47 / $63.32	Professional		$26.62	$38.47	$63.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.65 / $11.23 / $18.78	Professional	26	$8.65	$11.23	$18.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.45 / $25.62 / $39.08	Professional	TC	$17.45	$25.62	$39.08