Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.48 / $198.00 / $314.89	Facility		$30.48	$198.00	$314.89
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.31 / $9.97 / $10.56	Facility	26	$8.31	$9.97	$10.56
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.04 / $46.62 / $533.94	Facility	TC	$21.04	$46.62	$533.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $30.56 / $49.30	Professional		$18.94	$30.56	$49.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.73 / $9.44 / $14.85	Professional	26	$6.73	$9.44	$14.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.46 / $21.35 / $36.82	Professional	TC	$16.46	$21.35	$36.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $27.09 / $29.62	Professional		$27.09	$27.09	$29.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.99 / $7.67 / $8.82	Professional	26	$5.99	$7.67	$8.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.25 / $94.61 / $182.65	Facility		$46.25	$94.61	$182.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $37.47 / $46.10	Professional		$33.46	$37.47	$46.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.47 / $12.10 / $14.43	Professional	26	$9.47	$12.10	$14.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $27.41 / $36.76	Professional	TC	$23.99	$27.41	$36.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.58 / $27.10 / $79.30	Facility		$25.58	$27.10	$79.30
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $18.27 / $18.27 / $20.37	Facility	TC	$18.27	$18.27	$20.37
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.31 / $7.90 / $17.50	Professional	26	$7.31	$7.90	$17.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $56.14 / $85.29	Facility		$20.70	$56.14	$85.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $28.67 / $50.44	Professional		$17.13	$28.67	$50.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.98 / $8.99 / $14.98	Professional	26	$4.98	$8.99	$14.98
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.11 / $35.11 / $35.11	Professional	50	$35.11	$35.11	$35.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.15 / $21.93 / $35.45	Professional	TC	$12.15	$21.93	$35.45
United Facility/Professional Facility Modifier Low / Median / High Price $182.03 / $182.03 / $182.03	Facility		$182.03	$182.03	$182.03
United Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $29.47 / $47.48	Professional		$21.03	$29.47	$47.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.43 / $8.66 / $14.52	Professional	26	$6.43	$8.66	$14.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.62 / $20.21 / $32.79	Professional	TC	$14.62	$20.21	$32.79