Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $169.82 / $436.52	Facility		$33.88	$169.82	$436.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.12 / $10.72 / $12.59	Facility	26	$9.12	$10.72	$12.59
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.44 / $33.88 / $295.12	Facility	TC	$23.44	$33.88	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $33.88 / $75.86	Professional		$11.22	$33.88	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.48 / $38.02	Professional	26	$7.08	$11.48	$38.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $33.88 / $93.33 / $186.21	Professional	50	$33.88	$93.33	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.70 / $57.54	Professional	TC	$18.20	$25.70	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $31.62	Professional		$20.42	$25.12	$31.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $6.76 / $12.02	Professional	26	$6.17	$6.76	$12.02
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $32.36 / $36.31 / $40.74	Professional	50	$32.36	$36.31	$40.74
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $19.05 / $28.18	Professional	TC	$15.14	$19.05	$28.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $93.33 / $181.97	Facility		$53.70	$93.33	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $48.98	Professional		$33.88	$39.81	$48.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $10.96 / $14.13	Professional	26	$9.12	$10.96	$14.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $29.51 / $33.88	Professional	TC	$25.12	$29.51	$33.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $39.81 / $79.43	Facility		$30.20	$39.81	$79.43
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $22.39 / $23.44 / $39.81	Facility	TC	$22.39	$23.44	$39.81
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $19.05 / $19.05	Professional	26	$8.32	$19.05	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $74.13 / $102.33	Facility		$23.44	$74.13	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.11 / $61.66	Professional		$20.89	$33.11	$61.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $9.12 / $16.60	Professional	26	$5.62	$9.12	$16.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $25.12 / $46.77	Professional	TC	$15.14	$25.12	$46.77
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 $22.91 / $31.62 / $48.98	Professional		$22.91	$31.62	$48.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $8.91 / $13.49	Professional	26	$6.92	$8.91	$13.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $22.39 / $35.48	Professional	TC	$15.85	$22.39	$35.48