Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.13 / $91.07 / $274.12	Facility		$34.13	$91.07	$274.12
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.31 / $10.39 / $11.98	Facility	26	$8.31	$10.39	$11.98
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.51 / $34.61 / $113.20	Facility	TC	$25.51	$34.61	$113.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $34.96 / $56.84	Professional		$23.66	$34.96	$56.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.73 / $9.44 / $13.04	Professional	26	$6.73	$9.44	$13.04
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.01 / $17.79 / $25.21	Professional	52	$11.01	$17.79	$25.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $25.61 / $44.36	Professional	TC	$20.07	$25.61	$44.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $33.88 / $36.83	Professional		$29.46	$33.88	$36.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.35 / $7.62 / $8.82	Professional	26	$7.35	$7.62	$8.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $94.61 / $182.65	Facility		$47.11	$94.61	$182.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $43.03 / $52.96	Professional		$38.69	$43.03	$52.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.47 / $12.10 / $15.08	Professional	26	$9.47	$12.10	$15.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.30 / $32.43 / $40.54	Professional	TC	$28.30	$32.43	$40.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $31.14 / $87.73	Facility		$29.29	$31.14	$87.73
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $21.98 / $21.98 / $24.83	Facility	TC	$21.98	$21.98	$24.83
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.31 / $8.17 / $20.12	Professional	26	$7.31	$8.17	$20.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.91 / $68.92 / $95.43	Facility		$24.91	$68.92	$95.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $32.24 / $58.25	Professional		$19.59	$32.24	$58.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.98 / $9.15 / $14.99	Professional	26	$4.98	$9.15	$14.99
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $41.47 / $41.47 / $41.47	Professional	50	$41.47	$41.47	$41.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.57 / $23.36 / $43.27	Professional	TC	$14.57	$23.36	$43.27
United Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $33.20 / $49.76	Professional		$22.76	$33.20	$49.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.70 / $9.10 / $13.35	Professional	26	$6.70	$9.10	$13.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.70 / $23.92 / $35.67	Professional	TC	$15.70	$23.92	$35.67