Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.89 / $236.97 / $397.98	Facility		$37.89	$236.97	$397.98
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.48 / $11.67 / $15.15	Facility	26	$9.48	$11.67	$15.15
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.69 / $250.14 / $500.28	Facility	TC	$25.69	$250.14	$500.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $35.82 / $58.43	Professional		$22.46	$35.82	$58.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $11.19 / $18.04	Professional	26	$7.78	$11.19	$18.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $62.52 / $62.52 / $104.00	Professional	50	$62.52	$62.52	$104.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $24.86 / $44.36	Professional	TC	$19.14	$24.86	$44.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $31.98 / $31.98	Professional		$22.47	$31.98	$31.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $8.57 / $14.08	Professional	26	$6.74	$8.57	$14.08
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $38.76 / $38.76 / $49.51	Professional	50	$38.76	$38.76	$49.51
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $36.27 / $36.27 / $36.27	Professional	TC	$36.27	$36.27	$36.27
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 $39.86 / $44.53 / $52.99	Professional		$39.86	$44.53	$52.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.70 / $13.60 / $16.94	Professional	26	$10.70	$13.60	$16.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.30 / $32.43 / $38.03	Professional	TC	$28.30	$32.43	$38.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $32.02 / $78.15	Facility		$30.20	$32.02	$78.15
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $21.98 / $21.98 / $25.47	Facility	TC	$21.98	$21.98	$25.47
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $8.89 / $19.00	Professional	26	$8.22	$8.89	$19.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.91 / $67.09 / $94.17	Facility		$24.91	$67.09	$94.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $33.22 / $59.53	Professional		$20.21	$33.22	$59.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.60 / $10.28 / $16.84	Professional	26	$5.60	$10.28	$16.84
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $39.20 / $39.20 / $39.20	Professional	50	$39.20	$39.20	$39.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.61 / $24.35 / $41.85	Professional	TC	$14.61	$24.35	$41.85
United Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $34.14 / $52.71	Professional		$24.45	$34.14	$52.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.54 / $9.80 / $15.35	Professional	26	$7.54	$9.80	$15.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.86 / $23.41 / $34.76	Professional	TC	$16.86	$23.41	$34.76