Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $165.96 / $446.68	Facility		$43.65	$165.96	$446.68
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $11.75 / $15.14	Facility	26	$10.23	$11.75	$15.14
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.90 / $47.86 / $288.40	Facility	TC	$30.90	$47.86	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $40.74 / $102.33	Professional		$9.12	$40.74	$102.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.59 / $44.67	Professional	26	$7.94	$12.59	$44.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.95 / $85.11 / $204.17	Professional	50	$19.95	$85.11	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $33.11 / $79.43	Professional	TC	$24.55	$33.11	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.90 / $44.67	Professional		$24.55	$30.90	$44.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $8.51 / $13.49	Professional	26	$6.76	$8.51	$13.49
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $41.69 / $47.86 / $70.79	Professional	50	$41.69	$47.86	$70.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $25.70 / $38.02	Professional	TC	$20.89	$25.70	$38.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $93.33 / $181.97	Facility		$53.70	$93.33	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $50.12 / $57.54	Professional		$42.66	$50.12	$57.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $11.75 / $15.85	Professional	26	$10.00	$11.75	$15.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $38.02 / $42.66	Professional	TC	$32.36	$38.02	$42.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $40.74 / $74.13	Facility		$37.15	$40.74	$74.13
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $28.84 / $31.62 / $39.81	Facility	TC	$28.84	$31.62	$39.81
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $21.38 / $21.38	Professional	26	$9.12	$21.38	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $100.00 / $120.23	Facility		$30.90	$100.00	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $70.79	Professional		$23.99	$37.15	$70.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $10.00 / $18.20	Professional	26	$6.03	$10.00	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $28.84 / $54.95	Professional	TC	$18.20	$28.84	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $138.04 / $208.93	Facility		$44.67	$138.04	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $57.54	Professional		$26.92	$38.02	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.77 / $14.45	Professional	26	$7.59	$9.77	$14.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.18 / $42.66	Professional	TC	$19.05	$28.18	$42.66