Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $128.82 / $309.03	Facility		$37.15	$128.82	$309.03
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $13.49 / $17.38	Facility	26	$12.02	$13.49	$17.38
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.91 / $79.43 / $288.40	Facility	TC	$22.91	$79.43	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $37.15 / $81.28	Professional		$25.70	$37.15	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.02 / $46.77	Professional	26	$8.91	$12.02	$46.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $22.91 / $58.88	Professional	TC	$18.20	$22.91	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $40.74	Professional		$20.42	$25.70	$40.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $8.71 / $15.14	Professional	26	$6.92	$8.71	$15.14
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $18.62 / $28.84	Professional	TC	$14.45	$18.62	$28.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $93.33 / $181.97	Facility		$46.77	$93.33	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $48.98	Professional		$34.67	$41.69	$48.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $13.49 / $17.78	Professional	26	$11.48	$13.49	$17.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $27.54 / $30.90	Professional	TC	$23.44	$27.54	$30.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $39.81 / $77.62	Facility		$30.90	$39.81	$77.62
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $21.38 / $21.88 / $21.88	Facility	TC	$21.38	$21.88	$21.88
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $10.47 / $19.05	Professional	26	$10.00	$10.47	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $46.77 / $87.10	Facility		$22.39	$46.77	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $57.54	Professional		$21.38	$30.90	$57.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.22 / $20.42	Professional	26	$7.41	$11.22	$20.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $21.38 / $39.81	Professional	TC	$13.80	$21.38	$39.81
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 $23.44 / $32.36 / $50.12	Professional		$23.44	$32.36	$50.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $11.22 / $16.98	Professional	26	$8.71	$11.22	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $20.89 / $33.11	Professional	TC	$14.79	$20.89	$33.11