Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.85 / $115.50 / $391.30	Facility		$30.85	$115.50	$391.30
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.99 / $10.39 / $12.98	Facility	26	$7.99	$10.39	$12.98
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.41 / $24.89 / $95.03	Facility	TC	$21.41	$24.89	$95.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $30.86 / $49.30	Professional		$18.94	$30.86	$49.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.45 / $9.77 / $16.00	Professional	26	$6.45	$9.77	$16.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $21.50 / $37.40	Professional	TC	$16.67	$21.50	$37.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $25.76 / $27.09	Professional		$25.76	$25.76	$27.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.23 / $8.10 / $14.26	Professional	26	$6.23	$8.10	$14.26
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 / $37.42 / $46.67	Professional		$33.46	$37.42	$46.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.10 / $11.63 / $15.08	Professional	26	$9.10	$11.63	$15.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.60 / $27.04 / $35.49	Professional	TC	$23.60	$27.04	$35.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.58 / $27.10 / $71.20	Facility		$25.58	$27.10	$71.20
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $18.55 / $18.55 / $20.37	Facility	TC	$18.55	$18.55	$20.37
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $7.59 / $19.39	Professional	26	$7.03	$7.59	$19.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.03 / $57.05 / $79.40	Facility		$21.03	$57.05	$79.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $28.33 / $50.44	Professional		$17.13	$28.33	$50.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.79 / $8.77 / $14.78	Professional	26	$4.79	$8.77	$14.78
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $36.49 / $36.49 / $36.49	Professional	50	$36.49	$36.49	$36.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.34 / $22.27 / $36.01	Professional	TC	$12.34	$22.27	$36.01
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 $20.61 / $29.29 / $45.98	Professional		$20.61	$29.29	$45.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.70 / $8.69 / $13.35	Professional	26	$6.70	$8.69	$13.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.62 / $20.57 / $30.86	Professional	TC	$14.62	$20.57	$30.86