Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $97.72 / $389.05	Facility		$30.90	$97.72	$389.05
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $10.47 / $14.13	Facility	26	$8.91	$10.47	$14.13
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.89 / $25.70 / $109.65	Facility	TC	$20.89	$25.70	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $69.18	Professional		$21.88	$34.67	$69.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.55 / $23.99	Professional	26	$7.08	$9.55	$23.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.89 / $36.31	Professional	TC	$15.14	$20.89	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $41.69	Professional		$18.20	$22.39	$41.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $6.76 / $10.96	Professional	26	$6.17	$6.76	$10.96
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $17.78 / $20.89	Professional	TC	$14.45	$17.78	$20.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $117.49 / $269.15	Facility		$41.69	$117.49	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $43.65	Professional		$28.84	$34.67	$43.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $10.96 / $14.79	Professional	26	$9.12	$10.96	$14.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $23.44 / $27.54	Professional	TC	$19.95	$23.44	$27.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $39.81 / $81.28	Facility		$25.70	$39.81	$81.28
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $18.20 / $18.62 / $39.81	Facility	TC	$18.20	$18.62	$39.81
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $20.42 / $20.42	Professional	26	$8.32	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $66.07 / $102.33	Facility		$34.67	$66.07	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.20 / $56.23	Professional		$18.20	$30.20	$56.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $9.33 / $16.60	Professional	26	$5.62	$9.33	$16.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $20.42 / $38.90	Professional	TC	$12.88	$20.42	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $173.78 / $251.19	Facility		$44.67	$173.78	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $45.71	Professional		$21.88	$28.84	$45.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $9.12 / $13.49	Professional	26	$6.92	$9.12	$13.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $19.05 / $30.90	Professional	TC	$14.45	$19.05	$30.90