Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.68 / $101.15 / $387.42	Facility		$40.68	$101.15	$387.42
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.23 / $13.83 / $17.97	Facility	26	$11.23	$13.83	$17.97
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.23 / $146.80 / $360.62	Facility	TC	$28.23	$146.80	$360.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $41.51 / $72.79	Professional		$33.42	$41.51	$72.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.26 / $13.27 / $22.09	Professional	26	$9.26	$13.27	$22.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.70 / $29.43 / $50.15	Professional	TC	$23.70	$29.43	$50.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $34.82 / $43.53	Professional		$25.73	$34.82	$43.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.21 / $10.17 / $13.93	Professional	26	$9.21	$10.17	$13.93
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $40.97 / $40.97 / $40.97	Professional	TC	$40.97	$40.97	$40.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.14 / $118.37 / $271.33	Facility		$56.14	$118.37	$271.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.56 / $51.04 / $65.08	Professional		$45.56	$51.04	$65.08
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 $31.92 / $36.57 / $43.72	Professional	TC	$31.92	$36.57	$43.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.58 / $36.65 / $105.71	Facility		$34.58	$36.65	$105.71
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $24.83 / $24.83 / $28.34	Facility	TC	$24.83	$24.83	$28.34
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 / $77.13 / $108.16	Facility		$28.14	$77.13	$108.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $37.97 / $68.79	Professional		$23.16	$37.97	$68.79
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 / $27.92 / $48.31	Professional	TC	$16.51	$27.92	$48.31
United Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $39.52 / $61.31	Professional		$27.86	$39.52	$61.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $12.14 / $18.03	Professional	26	$8.94	$12.14	$18.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $27.07 / $41.19	Professional	TC	$19.14	$27.07	$41.19