Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.78 / $195.50 / $337.90	Facility		$43.78	$195.50	$337.90
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.77 / $10.83 / $14.07	Facility	26	$8.77	$10.83	$14.07
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $31.47 / $139.66 / $266.97	Facility	TC	$31.47	$139.66	$266.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $41.32 / $74.81	Professional		$25.98	$41.32	$74.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.21 / $10.39 / $17.35	Professional	26	$7.21	$10.39	$17.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $30.00 / $30.00 / $30.00	Professional	50	$30.00	$30.00	$30.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $31.60 / $57.10	Professional	TC	$25.37	$31.60	$57.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $38.00 / $38.00	Professional		$28.85	$38.00	$38.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.68 / $7.81 / $9.19	Professional	26	$7.68	$7.81	$9.19
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.10 / $28.10 / $28.10	Professional	TC	$28.10	$28.10	$28.10
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 $46.93 / $51.86 / $61.71	Professional		$46.93	$51.86	$61.71
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 $35.90 / $41.15 / $52.56	Professional	TC	$35.90	$41.15	$52.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $38.11 / $81.72	Facility		$35.86	$38.11	$81.72
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $28.24 / $28.24 / $32.47	Facility	TC	$28.24	$28.24	$32.47
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.62 / $8.52 / $21.86	Professional	26	$7.62	$8.52	$21.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.02 / $85.35 / $121.10	Facility		$32.02	$85.35	$121.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $38.00 / $70.06	Professional		$23.98	$38.00	$70.06
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 $47.36 / $47.36 / $47.36	Professional	50	$47.36	$47.36	$47.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $30.01 / $54.43	Professional	TC	$18.78	$30.01	$54.43
United Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $39.22 / $57.23	Professional		$25.89	$39.22	$57.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.99 / $9.02 / $14.74	Professional	26	$6.99	$9.02	$14.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.89 / $30.39 / $42.54	Professional	TC	$18.89	$30.39	$42.54