Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.50 / $116.85 / $395.97	Facility		$41.50	$116.85	$395.97
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.23 / $13.94 / $17.97	Facility	26	$11.23	$13.94	$17.97
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.12 / $62.31 / $256.55	Facility	TC	$28.12	$62.31	$256.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $41.51 / $66.81	Professional		$33.14	$41.51	$66.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.98 / $13.27 / $21.89	Professional	26	$8.98	$13.27	$21.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.35 / $28.39 / $50.15	Professional	TC	$22.35	$28.39	$50.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $36.60 / $43.53	Professional		$36.60	$36.60	$43.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $10.17 / $19.82	Professional	26	$8.36	$10.17	$19.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.27 / $94.61 / $182.65	Facility		$54.27	$94.61	$182.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.19 / $50.65 / $63.63	Professional		$45.19	$50.65	$63.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.71 / $16.16 / $20.07	Professional	26	$12.71	$16.16	$20.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.45 / $36.15 / $43.72	Professional	TC	$32.45	$36.15	$43.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.58 / $36.65 / $82.73	Facility		$34.58	$36.65	$82.73
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $24.83 / $24.83 / $28.02	Facility	TC	$24.83	$24.83	$28.02
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $9.76 / $10.22 / $19.14	Professional	26	$9.76	$10.22	$19.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.14 / $76.22 / $106.49	Facility		$28.14	$76.22	$106.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $37.65 / $68.23	Professional		$23.16	$37.65	$68.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $12.19 / $20.00	Professional	26	$6.65	$12.19	$20.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.51 / $27.54 / $47.66	Professional	TC	$16.51	$27.54	$47.66
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 $27.86 / $38.61 / $60.66	Professional		$27.86	$38.61	$60.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.00 / $12.40 / $19.39	Professional	26	$9.00	$12.40	$19.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.14 / $26.59 / $38.61	Professional	TC	$18.14	$26.59	$38.61