Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.21 / $234.52 / $513.10	Facility		$44.21	$234.52	$513.10
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.48 / $11.75 / $15.15	Facility	26	$9.48	$11.75	$15.15
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $31.18 / $141.13 / $503.94	Facility	TC	$31.18	$141.13	$503.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $42.01 / $73.41	Professional		$26.64	$42.01	$73.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $11.19 / $18.67	Professional	26	$7.78	$11.19	$18.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.09 / $109.09 / $109.09	Professional	50	$109.09	$109.09	$109.09
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.32 / $21.21 / $29.19	Professional	52	$13.32	$21.21	$29.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.44 / $31.23 / $54.79	Professional	TC	$24.44	$31.23	$54.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $37.42 / $58.53	Professional		$26.32	$37.42	$58.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $9.48 / $12.63	Professional	26	$8.27	$9.48	$12.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.27 / $94.61 / $182.65	Facility		$54.27	$94.61	$182.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $51.66 / $61.65	Professional		$46.58	$51.66	$61.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.70 / $13.60 / $16.94	Professional	26	$10.70	$13.60	$16.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.82 / $38.82 / $49.41	Professional	TC	$34.82	$38.82	$49.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $37.52 / $73.22	Facility		$35.33	$37.52	$73.22
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $27.11 / $27.11 / $31.52	Facility	TC	$27.11	$27.11	$31.52
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $9.17 / $21.20	Professional	26	$8.22	$9.17	$21.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.73 / $83.52 / $119.02	Facility		$30.73	$83.52	$119.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $38.59 / $70.14	Professional		$23.62	$38.59	$70.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.60 / $10.28 / $16.84	Professional	26	$5.60	$10.28	$16.84
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.26 / $48.26 / $48.26	Professional	50	$48.26	$48.26	$48.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.02 / $28.80 / $53.31	Professional	TC	$18.02	$28.80	$53.31
United Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $39.63 / $59.31	Professional		$26.93	$39.63	$59.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.54 / $10.19 / $15.35	Professional	26	$7.54	$10.19	$15.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.91 / $29.96 / $45.22	Professional	TC	$18.91	$29.96	$45.22