Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.39 / $163.87 / $383.37	Facility		$29.39	$163.87	$383.37
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.14 / $11.36 / $14.65	Facility	26	$9.14	$11.36	$14.65
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.10 / $250.29 / $329.96	Facility	TC	$18.10	$250.29	$329.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $27.55 / $43.36	Professional		$17.78	$27.55	$43.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $10.24 / $20.30	Professional	26	$7.51	$10.24	$20.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.69 / $17.38 / $29.88	Professional	TC	$9.69	$17.38	$29.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $28.74 / $28.74	Professional		$22.99	$28.74	$28.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.00 / $9.14 / $9.56	Professional	26	$8.00	$9.14	$9.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $94.61 / $182.65	Facility		$37.27	$94.61	$182.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $31.54 / $39.65	Professional		$29.40	$31.54	$39.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.89 / $12.69 / $16.36	Professional	26	$9.89	$12.69	$16.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.55 / $20.63 / $24.55	Professional	TC	$16.55	$20.63	$24.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.79 / $24.07 / $84.13	Facility		$22.79	$24.07	$84.13
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $14.85 / $14.85 / $16.23	Facility	TC	$14.85	$14.85	$16.23
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $8.18 / $8.26	Professional	26	$7.94	$8.18	$8.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $34.51 / $64.18	Facility		$25.44	$34.51	$64.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $24.28 / $43.17	Professional		$15.29	$24.28	$43.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.41 / $9.52 / $16.38	Professional	26	$5.41	$9.52	$16.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.65 / $15.26 / $26.49	Professional	TC	$9.65	$15.26	$26.49
United Facility/Professional Facility Modifier Low / Median / High Price $182.03 / $182.03 / $182.03	Facility		$182.03	$182.03	$182.03
United Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $25.98 / $37.29	Professional		$16.92	$25.98	$37.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $9.67 / $16.39	Professional	26	$7.28	$9.67	$16.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.84 / $15.44 / $22.63	Professional	TC	$8.84	$15.44	$22.63