Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.54 / $109.63 / $351.58	Facility		$42.54	$109.63	$351.58
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.03 / $13.83 / $17.97	Facility	26	$11.03	$13.83	$17.97
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.98 / $37.47 / $133.09	Facility	TC	$29.98	$37.47	$133.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $43.38 / $72.23	Professional		$33.40	$43.38	$72.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $12.56 / $20.39	Professional	26	$9.19	$12.56	$20.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.71 / $30.11 / $53.05	Professional	TC	$23.71	$30.11	$53.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $38.11 / $45.31	Professional		$26.80	$38.11	$45.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $11.72 / $24.41	Professional	26	$10.00	$11.72	$24.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.22 / $136.90 / $276.48	Facility		$52.22	$136.90	$276.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $52.62 / $63.66	Professional		$47.06	$52.62	$63.66
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 $34.45 / $39.38 / $50.03	Professional	TC	$34.45	$39.38	$50.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $36.01 / $38.19 / $115.72	Facility		$36.01	$38.19	$115.72
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $26.25 / $26.25 / $29.93	Facility	TC	$26.25	$26.25	$29.93
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $9.76 / $10.54 / $24.53	Professional	26	$9.76	$10.54	$24.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $95.55 / $127.57	Facility		$53.85	$95.55	$127.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $39.25 / $71.03	Professional		$24.11	$39.25	$71.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $11.75 / $20.67	Professional	26	$6.65	$11.75	$20.67
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $49.64 / $49.64 / $49.64	Professional	50	$49.64	$49.64	$49.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.46 / $28.30 / $51.08	Professional	TC	$17.46	$28.30	$51.08
United Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $40.52 / $67.37	Professional		$29.10	$40.52	$67.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $11.99 / $19.39	Professional	26	$9.19	$11.99	$19.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.48 / $28.55 / $44.41	Professional	TC	$20.48	$28.55	$44.41