Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.32 / $163.43 / $340.48	Facility		$36.32	$163.43	$340.48
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.43 / $10.39 / $13.49	Facility	26	$8.43	$10.39	$13.49
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.26 / $76.37 / $291.60	Facility	TC	$26.26	$76.37	$291.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $36.08 / $64.34	Professional		$22.24	$36.08	$64.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $9.97 / $16.63	Professional	26	$6.84	$9.97	$16.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.76 / $99.76 / $104.00	Professional	50	$99.76	$99.76	$104.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.12 / $18.17 / $25.45	Professional	52	$11.12	$18.17	$25.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $26.36 / $44.93	Professional	TC	$19.46	$26.36	$44.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $31.33 / $32.28	Professional		$22.02	$31.33	$32.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.47 / $7.67 / $14.85	Professional	26	$6.47	$7.67	$14.85
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $48.42 / $48.42 / $48.42	Professional	50	$48.42	$48.42	$48.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $36.72 / $36.72 / $36.72	Professional	TC	$36.72	$36.72	$36.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.40 / $94.61 / $182.65	Facility		$46.40	$94.61	$182.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $43.42 / $53.53	Professional		$39.06	$43.42	$53.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.47 / $12.10 / $16.12	Professional	26	$9.47	$12.10	$16.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.04 / $32.84 / $38.65	Professional	TC	$29.04	$32.84	$38.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.57 / $31.44 / $82.73	Facility		$29.57	$31.44	$82.73
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $22.26 / $22.26 / $25.15	Facility	TC	$22.26	$22.26	$25.15
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.31 / $7.90 / $23.36	Professional	26	$7.31	$7.90	$23.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $69.83 / $99.52	Facility		$25.23	$69.83	$99.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $32.54 / $58.81	Professional		$19.78	$32.54	$58.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.98 / $9.15 / $14.99	Professional	26	$4.98	$9.15	$14.99
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $41.91 / $41.91 / $41.91	Professional	50	$41.91	$41.91	$41.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.80 / $23.78 / $43.14	Professional	TC	$14.80	$23.78	$43.14
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 $23.80 / $33.92 / $53.87	Professional		$23.80	$33.92	$53.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.70 / $9.10 / $14.57	Professional	26	$6.70	$9.10	$14.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.62 / $24.16 / $37.89	Professional	TC	$16.62	$24.16	$37.89