Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.80 / $161.82 / $438.26	Facility		$49.80	$161.82	$438.26
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.23 / $13.83 / $17.97	Facility	26	$11.23	$13.83	$17.97
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $35.71 / $136.81 / $297.72	Facility	TC	$35.71	$136.81	$297.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $48.13 / $86.06	Professional		$31.50	$48.13	$86.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.98 / $12.56 / $22.09	Professional	26	$8.98	$12.56	$22.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $66.43 / $66.43 / $66.43	Professional	50	$66.43	$66.43	$66.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $35.72 / $64.06	Professional	TC	$27.55	$35.72	$64.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $43.85 / $52.08	Professional		$30.87	$43.85	$52.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.00 / $11.23 / $19.82	Professional	26	$8.00	$11.23	$19.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.51 / $86.55 / $181.11	Facility		$55.51	$86.55	$181.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.16 / $60.16 / $71.59	Professional		$54.16	$60.16	$71.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.61 / $16.16 / $20.07	Professional	26	$12.61	$16.16	$20.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.26 / $46.11 / $53.19	Professional	TC	$40.26	$46.11	$53.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $41.42 / $44.00 / $72.53	Facility		$41.42	$44.00	$72.53
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $31.66 / $31.66 / $36.29	Facility	TC	$31.66	$31.66	$36.29
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $9.76 / $10.54 / $24.28	Professional	26	$9.76	$10.54	$24.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.59 / $113.37 / $137.25	Facility		$63.59	$113.37	$137.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $45.13 / $76.66	Professional		$27.71	$45.13	$76.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $11.69 / $20.11	Professional	26	$6.65	$11.69	$20.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.06 / $33.64 / $60.29	Professional	TC	$21.06	$33.64	$60.29
United Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $45.77 / $72.30	Professional		$33.22	$45.77	$72.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $11.82 / $18.64	Professional	26	$8.94	$11.82	$18.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.22 / $33.36 / $52.21	Professional	TC	$24.22	$33.36	$52.21