Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.02 / $8.67 / $11.23	Facility	26	$7.02	$8.67	$11.23
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.98 / $41.42 / $250.14	Facility	TC	$29.98	$41.42	$250.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $38.42 / $65.17	Professional		$24.44	$38.42	$65.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.60 / $8.32 / $13.80	Professional	26	$5.60	$8.32	$13.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.22 / $19.21 / $23.59	Professional	52	$12.22	$19.21	$23.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $30.11 / $54.79	Professional	TC	$22.57	$30.11	$54.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $35.20 / $35.20	Professional		$35.20	$35.20	$35.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.99 / $6.23 / $12.37	Professional	26	$4.99	$6.23	$12.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.94 / $47.71 / $56.77	Professional		$42.94	$47.71	$56.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $10.06 / $12.57	Professional	26	$7.90	$10.06	$12.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.45 / $39.47 / $47.50	Professional	TC	$34.45	$39.47	$47.50
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $27.11 / $27.11 / $31.20	Facility	TC	$27.11	$27.11	$31.20
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $6.09 / $6.58 / $21.82	Professional	26	$6.09	$6.58	$21.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $35.20 / $64.15	Professional		$22.17	$35.20	$64.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.13 / $7.48 / $12.51	Professional	26	$4.13	$7.48	$12.51
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.71 / $43.71 / $43.71	Professional	50	$43.71	$43.71	$43.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.62 / $27.99 / $51.64	Professional	TC	$17.62	$27.99	$51.64
United Facility/Professional Professional Modifier Low / Median / High Price $22.96 / $34.75 / $50.02	Professional		$22.96	$34.75	$50.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.59 / $7.42 / $11.05	Professional	26	$5.59	$7.42	$11.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.37 / $28.12 / $41.19	Professional	TC	$17.37	$28.12	$41.19