Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.80 / $101.62 / $446.76	Facility		$31.80	$101.62	$446.76
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.31 / $10.39 / $13.49	Facility	26	$8.31	$10.39	$13.49
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.90 / $28.63 / $101.62	Facility	TC	$22.90	$28.63	$101.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.96 / $52.78	Professional		$22.39	$32.96	$52.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.73 / $9.44 / $13.49	Professional	26	$6.73	$9.44	$13.49
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.13 / $16.48 / $23.26	Professional	52	$10.13	$16.48	$23.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $22.99 / $40.29	Professional	TC	$17.89	$22.99	$40.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $28.91 / $28.91	Professional		$28.91	$28.91	$28.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.47 / $8.44 / $14.85	Professional	26	$6.47	$8.44	$14.85
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $35.02 / $35.02 / $35.02	Professional	50	$35.02	$35.02	$35.02
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $5.84 / $5.84 / $5.84	Professional	52	$5.84	$5.84	$5.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.25 / $118.40 / $276.48	Facility		$46.25	$118.40	$276.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $40.26 / $48.38	Professional		$36.07	$40.26	$48.38
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 $25.77 / $29.53 / $34.86	Professional	TC	$25.77	$29.53	$34.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.29 / $28.94 / $103.54	Facility		$27.29	$28.94	$103.54
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $19.98 / $19.98 / $22.28	Facility	TC	$19.98	$19.98	$22.28
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.31 / $7.90 / $20.76	Professional	26	$7.31	$7.90	$20.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $61.61 / $85.56	Facility		$22.64	$61.61	$85.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $30.06 / $53.79	Professional		$18.27	$30.06	$53.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.98 / $8.99 / $14.99	Professional	26	$4.98	$8.99	$14.99
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $37.85 / $37.85 / $37.85	Professional	50	$37.85	$37.85	$37.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.29 / $22.32 / $38.63	Professional	TC	$13.29	$22.32	$38.63
United Facility/Professional Facility Modifier Low / Median / High Price $245.18 / $245.18 / $245.18	Facility		$245.18	$245.18	$245.18
United Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $30.68 / $47.56	Professional		$21.97	$30.68	$47.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $9.03 / $13.86	Professional	26	$6.71	$9.03	$13.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.58 / $22.02 / $31.45	Professional	TC	$15.58	$22.02	$31.45