Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.76 / $207.66 / $414.05	Facility		$33.76	$207.66	$414.05
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.66 / $10.83 / $14.07	Facility	26	$8.66	$10.83	$14.07
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.37 / $75.89 / $278.44	Facility	TC	$23.37	$75.89	$278.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $34.25 / $55.03	Professional		$21.14	$34.25	$55.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.01 / $9.85 / $16.17	Professional	26	$7.01	$9.85	$16.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.22 / $24.55 / $42.04	Professional	TC	$20.22	$24.55	$42.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $28.65 / $47.21	Professional		$21.18	$28.65	$47.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.18 / $8.78 / $9.19	Professional	26	$7.18	$8.78	$9.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.27 / $94.61 / $182.65	Facility		$54.27	$94.61	$182.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $41.97 / $53.10	Professional		$37.60	$41.97	$53.10
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 $27.73 / $31.70 / $44.98	Professional	TC	$27.73	$31.70	$44.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $30.17 / $79.30	Facility		$28.46	$30.17	$79.30
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $20.84 / $20.84 / $23.56	Facility	TC	$20.84	$20.84	$23.56
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.62 / $8.24 / $19.04	Professional	26	$7.62	$8.24	$19.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $63.44 / $99.52	Facility		$23.61	$63.44	$99.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.95 / $56.10	Professional		$19.05	$33.95	$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 50 Low / Median / High Price $38.75 / $38.75 / $38.75	Professional	50	$38.75	$38.75	$38.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.86 / $25.00 / $40.47	Professional	TC	$13.86	$25.00	$40.47
United Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $33.22 / $55.83	Professional		$22.92	$33.22	$55.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.99 / $9.39 / $15.19	Professional	26	$6.99	$9.39	$15.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $22.75 / $36.29	Professional	TC	$15.85	$22.75	$36.29