Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.79 / $165.84 / $440.22	Facility		$39.79	$165.84	$440.22
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.77 / $10.91 / $16.17	Facility	26	$8.77	$10.91	$16.17
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.49 / $142.94 / $473.95	Facility	TC	$27.49	$142.94	$473.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $37.22 / $63.13	Professional		$23.78	$37.22	$63.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.21 / $10.18 / $17.35	Professional	26	$7.21	$10.18	$17.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $28.00 / $98.80 / $98.80	Professional	50	$28.00	$98.80	$98.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.64 / $27.49 / $50.15	Professional	TC	$21.64	$27.49	$50.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $34.36 / $34.36	Professional		$24.17	$34.36	$34.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.53 / $8.78 / $15.48	Professional	26	$6.53	$8.78	$15.48
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $41.62 / $41.62 / $41.62	Professional	50	$41.62	$41.62	$41.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.05 / $94.61 / $182.65	Facility		$50.05	$94.61	$182.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $47.11 / $59.41	Professional		$42.40	$47.11	$59.41
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 $31.56 / $36.15 / $43.72	Professional	TC	$31.56	$36.15	$43.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $32.45 / $34.45 / $78.15	Facility		$32.45	$34.45	$78.15
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $24.83 / $24.83 / $28.34	Facility	TC	$24.83	$24.83	$28.34
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.62 / $8.52 / $21.44	Professional	26	$7.62	$8.52	$21.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.14 / $74.39 / $104.04	Facility		$28.14	$74.39	$104.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $35.21 / $62.80	Professional		$21.70	$35.21	$62.80
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 $43.28 / $43.28 / $43.28	Professional	50	$43.28	$43.28	$43.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.51 / $26.38 / $47.17	Professional	TC	$16.51	$26.38	$47.17
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 $24.62 / $35.36 / $53.92	Professional		$24.62	$35.36	$53.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.99 / $9.39 / $15.19	Professional	26	$6.99	$9.39	$15.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.92 / $26.35 / $38.11	Professional	TC	$16.92	$26.35	$38.11