Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $158.49 / $426.58	Facility		$38.90	$158.49	$426.58
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.12 / $10.47 / $12.59	Facility	26	$9.12	$10.47	$12.59
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.54 / $40.74 / $436.52	Facility	TC	$27.54	$40.74	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $37.15 / $85.11	Professional		$10.23	$37.15	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.02 / $42.66	Professional	26	$7.08	$12.02	$42.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.50 / $83.18 / $199.53	Professional	50	$19.50	$83.18	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.84 / $70.79	Professional	TC	$20.89	$28.84	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.18 / $40.74	Professional		$22.39	$28.18	$40.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $7.24 / $13.18	Professional	26	$6.17	$7.24	$13.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $36.31 / $42.66 / $47.86	Professional	50	$36.31	$42.66	$47.86
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $21.88 / $34.67	Professional	TC	$17.78	$21.88	$34.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $93.33 / $181.97	Facility		$48.98	$93.33	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $51.29	Professional		$38.02	$44.67	$51.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $10.96 / $14.13	Professional	26	$9.12	$10.96	$14.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $33.88 / $38.02	Professional	TC	$28.84	$33.88	$38.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $39.81 / $85.11	Facility		$33.88	$39.81	$85.11
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $25.70 / $27.54 / $39.81	Facility	TC	$25.70	$27.54	$39.81
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $21.38 / $21.38	Professional	26	$8.32	$21.38	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $87.10 / $104.71	Facility		$26.92	$87.10	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $63.10	Professional		$21.88	$33.88	$63.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $9.12 / $16.60	Professional	26	$5.62	$9.12	$16.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $25.70 / $48.98	Professional	TC	$15.85	$25.70	$48.98
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 $24.55 / $33.88 / $52.48	Professional		$24.55	$33.88	$52.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $8.91 / $13.49	Professional	26	$6.92	$8.91	$13.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $25.12 / $38.02	Professional	TC	$16.98	$25.12	$38.02