Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $96.32 / $339.30	Facility		$31.96	$96.32	$339.30
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.66 / $10.49 / $14.07	Facility	26	$8.66	$10.49	$14.07
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.64 / $27.43 / $104.93	Facility	TC	$23.64	$27.43	$104.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $34.14 / $55.60	Professional		$25.77	$34.14	$55.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.00 / $9.85 / $14.67	Professional	26	$7.00	$9.85	$14.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $23.74 / $42.04	Professional	TC	$18.55	$23.74	$42.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.14 / $30.14 / $30.14	Professional		$30.14	$30.14	$30.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.65 / $8.60 / $15.48	Professional	26	$7.65	$8.60	$15.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.10 / $94.61 / $182.65	Facility		$48.10	$94.61	$182.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $41.56 / $50.75	Professional		$37.22	$41.56	$50.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $12.62 / $15.72	Professional	26	$9.86	$12.62	$15.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.48 / $30.36 / $36.76	Professional	TC	$26.48	$30.36	$36.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $30.17 / $70.17	Facility		$28.46	$30.17	$70.17
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $20.84 / $20.84 / $22.60	Facility	TC	$20.84	$20.84	$22.60
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.62 / $8.24 / $18.22	Professional	26	$7.62	$8.24	$18.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $63.44 / $89.27	Facility		$23.61	$63.44	$89.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $31.02 / $56.10	Professional		$19.05	$31.02	$56.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.19 / $9.36 / $15.63	Professional	26	$5.19	$9.36	$15.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.86 / $23.44 / $40.47	Professional	TC	$13.86	$23.44	$40.47
United Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $31.89 / $49.90	Professional		$22.92	$31.89	$49.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.99 / $9.19 / $14.69	Professional	26	$6.99	$9.19	$14.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.09 / $22.68 / $34.70	Professional	TC	$16.09	$22.68	$34.70