Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $13.80 / $15.85	Facility	26	$12.02	$13.80	$15.85
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $33.88 / $46.77 / $380.19	Facility	TC	$33.88	$46.77	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $47.86 / $123.03	Professional		$16.22	$47.86	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $15.85 / $54.95	Professional	26	$8.91	$15.85	$54.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $29.51 / $95.50 / $223.87	Professional	50	$29.51	$95.50	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $37.15 / $89.13	Professional	TC	$28.18	$37.15	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $60.26	Professional		$29.51	$36.31	$60.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $9.77 / $15.85	Professional	26	$8.13	$9.77	$15.85
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $45.71 / $56.23 / $70.79	Professional	50	$45.71	$56.23	$70.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $37.15 / $54.95	Professional	TC	$25.70	$37.15	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $67.61	Professional		$48.98	$57.54	$67.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $14.45 / $19.05	Professional	26	$12.02	$14.45	$19.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $43.65 / $47.86	Professional	TC	$36.31	$43.65	$47.86
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $33.11 / $36.31 / $39.81	Facility	TC	$33.11	$36.31	$39.81
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $26.92 / $26.92	Professional	26	$10.96	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $43.65 / $83.18	Professional		$27.54	$43.65	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $12.30 / $21.38	Professional	26	$7.24	$12.30	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $33.11 / $63.10	Professional	TC	$20.42	$33.11	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $64.57	Professional		$30.20	$42.66	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $11.48 / $17.38	Professional	26	$8.91	$11.48	$17.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $30.90 / $47.86	Professional	TC	$20.42	$30.90	$47.86