Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $141.25 / $331.13	Facility		$28.18	$141.25	$331.13
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.96 / $12.88	Facility	26	$10.00	$10.96	$12.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.38 / $53.70 / $302.00	Facility	TC	$17.38	$53.70	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.18 / $54.95	Professional		$17.78	$28.18	$54.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.33 / $38.90	Professional	26	$7.08	$9.33	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $16.98 / $29.51	Professional	TC	$10.00	$16.98	$29.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.50 / $28.84	Professional		$16.22	$19.50	$28.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $7.08 / $13.49	Professional	26	$6.46	$7.08	$13.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $12.30 / $13.49	Professional	TC	$11.75	$12.30	$13.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $93.33 / $181.97	Facility		$36.31	$93.33	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $31.62 / $36.31	Professional		$26.92	$31.62	$36.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $11.22 / $14.79	Professional	26	$9.33	$11.22	$14.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $20.42 / $22.39	Professional	TC	$16.22	$20.42	$22.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $39.81 / $87.10	Facility		$23.99	$39.81	$87.10
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $15.85 / $16.22 / $16.22	Facility	TC	$15.85	$16.22	$16.22
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $8.91 / $9.12	Professional	26	$8.32	$8.91	$9.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $34.67 / $64.57	Facility		$16.98	$34.67	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.99 / $44.67	Professional		$14.79	$23.99	$44.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $9.55 / $16.98	Professional	26	$6.17	$9.55	$16.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.12 / $14.79 / $29.51	Professional	TC	$9.12	$14.79	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $138.04 / $208.93	Facility		$61.66	$138.04	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $24.55 / $37.15	Professional		$16.60	$24.55	$37.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.33 / $14.13	Professional	26	$7.24	$9.33	$14.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $15.14 / $21.88	Professional	TC	$8.91	$15.14	$21.88