Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $165.96 / $549.54	Facility		$34.67	$165.96	$549.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $10.00 / $11.48	Facility	26	$8.91	$10.00	$11.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.99 / $31.62 / $288.40	Facility	TC	$23.99	$31.62	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $33.11 / $85.11	Professional		$8.71	$33.11	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.96 / $42.66	Professional	26	$6.46	$10.96	$42.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $16.98 / $64.57 / $151.36	Professional	50	$16.98	$64.57	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $25.12 / $46.77	Professional	TC	$17.78	$25.12	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $33.88	Professional		$19.05	$23.99	$33.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $6.61 / $10.96	Professional	26	$5.75	$6.61	$10.96
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $37.15 / $37.15 / $37.15	Professional	50	$37.15	$37.15	$37.15
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $20.42 / $24.55	Professional	TC	$15.85	$20.42	$24.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $93.33 / $181.97	Facility		$42.66	$93.33	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $44.67	Professional		$33.11	$38.90	$44.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $10.23 / $13.80	Professional	26	$8.51	$10.23	$13.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $28.84 / $30.90	Professional	TC	$24.55	$28.84	$30.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $39.81 / $83.18	Facility		$29.51	$39.81	$83.18
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $21.88 / $22.39 / $39.81	Facility	TC	$21.88	$22.39	$39.81
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $16.22 / $16.22	Professional	26	$7.59	$16.22	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $75.86 / $91.20	Facility		$23.44	$75.86	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $29.51 / $54.95	Professional		$18.62	$29.51	$54.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $8.71 / $15.49	Professional	26	$5.37	$8.71	$15.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $21.88 / $40.74	Professional	TC	$13.80	$21.88	$40.74
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 $21.88 / $30.20 / $46.77	Professional		$21.88	$30.20	$46.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $8.32 / $12.88	Professional	26	$6.61	$8.32	$12.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $21.38 / $32.36	Professional	TC	$15.14	$21.38	$32.36