Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.46 / $51.21 / $251.48	Facility		$32.46	$51.21	$251.48
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.99 / $10.39 / $13.49	Facility	26	$7.99	$10.39	$13.49
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.97 / $30.49 / $110.68	Facility	TC	$23.97	$30.49	$110.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.84 / $53.93	Professional		$22.39	$33.84	$53.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.45 / $9.44 / $14.10	Professional	26	$6.45	$9.44	$14.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $23.72 / $86.52 / $88.20	Professional	50	$23.72	$86.52	$88.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.46 / $17.23 / $23.99	Professional	52	$10.46	$17.23	$23.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $24.49 / $42.04	Professional	TC	$18.53	$24.49	$42.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.20 / $8.10 / $12.70	Professional	26	$7.20	$8.10	$12.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.25 / $94.61 / $182.65	Facility		$46.25	$94.61	$182.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $40.98 / $51.24	Professional		$36.82	$40.98	$51.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.10 / $11.63 / $15.08	Professional	26	$9.10	$11.63	$15.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.66 / $30.78 / $36.76	Professional	TC	$27.66	$30.78	$36.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $29.92 / $79.30	Facility		$27.86	$29.92	$79.30
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $20.84 / $20.84 / $23.24	Facility	TC	$20.84	$20.84	$23.24
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $7.90 / $19.47	Professional	26	$7.03	$7.90	$19.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $65.26 / $94.81	Facility		$23.61	$65.26	$94.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $30.68 / $55.46	Professional		$18.64	$30.68	$55.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.79 / $8.77 / $14.78	Professional	26	$4.79	$8.77	$14.78
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $40.11 / $40.11 / $40.11	Professional	50	$40.11	$40.11	$40.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.86 / $22.47 / $41.03	Professional	TC	$13.86	$22.47	$41.03
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 $22.64 / $31.97 / $48.96	Professional		$22.64	$31.97	$48.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.70 / $8.92 / $14.57	Professional	26	$6.70	$8.92	$14.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.34 / $22.28 / $36.89	Professional	TC	$15.34	$22.28	$36.89