Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $154.88 / $407.38	Facility		$37.15	$154.88	$407.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $11.75 / $13.49	Facility	26	$10.00	$11.75	$13.49
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.12 / $54.95 / $302.00	Facility	TC	$25.12	$54.95	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $34.67 / $79.43	Professional		$8.91	$34.67	$79.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.75 / $42.66	Professional	26	$7.59	$11.75	$42.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.48 / $81.28 / $165.96	Professional	50	$35.48	$81.28	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $26.92 / $72.44	Professional	TC	$19.95	$26.92	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.30 / $40.74	Professional		$21.38	$26.30	$40.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $7.94 / $12.88	Professional	26	$6.76	$7.94	$12.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $33.11 / $40.74 / $57.54	Professional	50	$33.11	$40.74	$57.54
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $20.89 / $33.88	Professional	TC	$16.60	$20.89	$33.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $93.33 / $181.97	Facility		$46.77	$93.33	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $50.12	Professional		$36.31	$42.66	$50.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $11.75 / $15.85	Professional	26	$10.00	$11.75	$15.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $30.90 / $33.88	Professional	TC	$26.30	$30.90	$33.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $39.81 / $79.43	Facility		$32.36	$39.81	$79.43
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $23.44 / $25.12 / $39.81	Facility	TC	$23.44	$25.12	$39.81
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $20.42 / $20.42	Professional	26	$8.91	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $79.43 / $93.33	Facility		$25.12	$79.43	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $31.62 / $60.26	Professional		$20.42	$31.62	$60.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $10.00 / $18.20	Professional	26	$6.03	$10.00	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $23.44 / $43.65	Professional	TC	$14.79	$23.44	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $138.04 / $208.93	Facility		$44.67	$138.04	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $50.12	Professional		$23.44	$33.11	$50.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.77 / $14.45	Professional	26	$7.59	$9.77	$14.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $22.39 / $33.88	Professional	TC	$15.85	$22.39	$33.88