Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $134.90 / $389.05	Facility		$31.62	$134.90	$389.05
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $10.00 / $11.48	Facility	26	$8.91	$10.00	$11.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.38 / $25.70 / $87.10	Facility	TC	$21.38	$25.70	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $30.20 / $64.57	Professional		$10.47	$30.20	$64.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $10.47 / $37.15	Professional	26	$6.03	$10.47	$37.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.78 / $117.49 / $281.84	Professional	50	$17.78	$117.49	$281.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $21.88 / $38.90	Professional	TC	$15.85	$21.88	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.88 / $26.30	Professional		$17.78	$21.88	$26.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $6.17 / $9.33	Professional	26	$5.75	$6.17	$9.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $15.85 / $21.88	Professional	TC	$14.13	$15.85	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $93.33 / $181.97	Facility		$43.65	$93.33	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $35.48 / $42.66	Professional		$30.20	$35.48	$42.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $10.23 / $13.49	Professional	26	$8.51	$10.23	$13.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $25.70 / $29.51	Professional	TC	$21.88	$25.70	$29.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $39.81 / $72.44	Facility		$26.92	$39.81	$72.44
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $19.95 / $20.42 / $39.81	Facility	TC	$19.95	$20.42	$39.81
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $19.50 / $19.50	Professional	26	$7.59	$19.50	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $67.61 / $79.43	Facility		$20.89	$67.61	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $27.54 / $53.70	Professional		$18.20	$27.54	$53.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.25 / $8.71 / $15.49	Professional	26	$5.25	$8.71	$15.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $19.95 / $38.02	Professional	TC	$12.88	$19.95	$38.02
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 $20.89 / $29.51 / $43.65	Professional		$20.89	$29.51	$43.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $8.51 / $12.88	Professional	26	$6.76	$8.51	$12.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $19.50 / $30.20	Professional	TC	$14.13	$19.50	$30.20