Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $104.80 / $424.16	Facility		$33.92	$104.80	$424.16
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.02 / $12.56 / $16.30	Facility	26	$10.02	$12.56	$16.30
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.53 / $35.69 / $318.88	Facility	TC	$22.53	$35.69	$318.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.51 / $34.65 / $62.90	Professional		$27.51	$34.65	$62.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $11.40 / $20.00	Professional	26	$8.39	$11.40	$20.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.38 / $23.77 / $40.29	Professional	TC	$19.38	$23.77	$40.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $30.51 / $36.31	Professional		$30.51	$30.51	$36.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.85 / $9.99 / $17.97	Professional	26	$7.85	$9.99	$17.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.66 / $118.37 / $271.33	Facility		$49.66	$118.37	$271.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.67 / $42.41 / $56.82	Professional		$37.67	$42.41	$56.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.44 / $14.65 / $20.07	Professional	26	$11.44	$14.65	$20.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.23 / $29.85 / $40.54	Professional	TC	$26.23	$29.85	$40.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.83 / $30.52 / $105.96	Facility		$28.83	$30.52	$105.96
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $19.98 / $19.98 / $22.28	Facility	TC	$19.98	$19.98	$22.28
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $8.85 / $9.57 / $18.86	Professional	26	$8.85	$9.57	$18.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $60.70 / $99.11	Facility		$22.64	$60.70	$99.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $34.22 / $58.09	Professional		$19.32	$34.22	$58.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $11.26 / $19.36	Professional	26	$6.03	$11.26	$19.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.29 / $23.98 / $39.33	Professional	TC	$13.29	$23.98	$39.33
United Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $33.00 / $53.84	Professional		$25.03	$33.00	$53.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.68 / $11.26 / $18.71	Professional	26	$8.68	$11.26	$18.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.09 / $21.86 / $34.64	Professional	TC	$16.09	$21.86	$34.64