Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.86 / $158.40 / $375.70	Facility		$36.86	$158.40	$375.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.00 / $11.30 / $14.65	Facility	26	$9.00	$11.30	$14.65
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.62 / $30.89 / $118.19	Facility	TC	$26.62	$30.89	$118.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $36.86 / $60.16	Professional		$22.90	$36.86	$60.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $10.24 / $18.03	Professional	26	$7.51	$10.24	$18.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.73 / $26.74 / $46.67	Professional	TC	$20.73	$26.74	$46.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.00 / $8.31 / $16.12	Professional	26	$8.00	$8.31	$16.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.27 / $83.94 / $182.65	Facility		$42.27	$83.94	$182.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $45.26 / $55.39	Professional		$40.61	$45.26	$55.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.27 / $13.14 / $16.36	Professional	26	$10.27	$13.14	$16.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.95 / $34.69 / $40.54	Professional	TC	$29.95	$34.69	$40.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $31.05 / $32.94 / $81.65	Facility		$31.05	$32.94	$81.65
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $23.12 / $23.12 / $25.79	Facility	TC	$23.12	$23.12	$25.79
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $8.58 / $26.29	Professional	26	$7.94	$8.58	$26.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $84.85 / $104.95	Facility		$47.16	$84.85	$104.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.78 / $33.84 / $60.16	Professional		$20.78	$33.84	$60.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.41 / $9.63 / $16.93	Professional	26	$5.41	$9.63	$16.93
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 $15.37 / $24.57 / $44.38	Professional	TC	$15.37	$24.57	$44.38
United Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $35.09 / $56.75	Professional		$25.46	$35.09	$56.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $9.85 / $15.82	Professional	26	$7.51	$9.85	$15.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.66 / $24.86 / $39.08	Professional	TC	$16.66	$24.86	$39.08