Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.71 / $136.00 / $300.82	Facility		$37.71	$136.00	$300.82
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.90 / $13.55 / $914.15	Facility	26	$10.90	$13.55	$914.15
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.59 / $195.50 / $297.72	Facility	TC	$23.59	$195.50	$297.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $35.63 / $64.37	Professional		$27.02	$35.63	$64.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $12.19 / $24.38	Professional	26	$8.69	$12.19	$24.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.92 / $22.99 / $40.29	Professional	TC	$17.92	$22.99	$40.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.07 / $31.15 / $38.00	Professional		$23.07	$31.15	$38.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.42 / $10.90 / $11.40	Professional	26	$8.42	$10.90	$11.40
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.91 / $24.61 / $35.70	Professional	TC	$13.91	$24.61	$35.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.10 / $94.61 / $182.65	Facility		$48.10	$94.61	$182.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $43.46 / $52.82	Professional		$38.47	$43.46	$52.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.24 / $15.70 / $19.50	Professional	26	$12.24	$15.70	$19.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.40 / $29.84 / $34.86	Professional	TC	$25.40	$29.84	$34.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $31.16 / $78.15	Facility		$29.45	$31.16	$78.15
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $19.98 / $19.98 / $21.96	Facility	TC	$19.98	$19.98	$21.96
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $9.47 / $9.90 / $20.20	Professional	26	$9.47	$9.90	$20.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.08 / $46.40 / $86.62	Facility		$41.08	$46.40	$86.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $32.06 / $57.30	Professional		$19.75	$32.06	$57.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $11.36 / $19.55	Professional	26	$6.46	$11.36	$19.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.29 / $21.24 / $38.79	Professional	TC	$13.29	$21.24	$38.79
United Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $33.20 / $53.12	Professional		$23.75	$33.20	$53.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.68 / $11.53 / $18.86	Professional	26	$8.68	$11.53	$18.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.59 / $22.01 / $35.72	Professional	TC	$15.59	$22.01	$35.72