Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $186.37 / $424.78	Facility		$39.47	$186.37	$424.78
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.77 / $10.83 / $14.07	Facility	26	$8.77	$10.83	$14.07
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.48 / $97.71 / $500.28	Facility	TC	$27.48	$97.71	$500.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $37.22 / $61.40	Professional		$23.25	$37.22	$61.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.01 / $10.39 / $22.22	Professional	26	$7.01	$10.39	$22.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.06 / $99.06 / $99.06	Professional	50	$99.06	$99.06	$99.06
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.00 / $18.94 / $26.84	Professional	52	$12.00	$18.94	$26.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $27.49 / $48.42	Professional	TC	$21.94	$27.49	$48.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $31.78 / $36.54	Professional		$23.53	$31.78	$36.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.65 / $7.94 / $9.19	Professional	26	$7.65	$7.94	$9.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.90 / $94.61 / $182.65	Facility		$50.90	$94.61	$182.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.70 / $46.32 / $55.32	Professional		$41.70	$46.32	$55.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $12.62 / $15.72	Professional	26	$9.86	$12.62	$15.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.84 / $35.34 / $44.98	Professional	TC	$30.84	$35.34	$44.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $31.59 / $33.61 / $84.13	Facility		$31.59	$33.61	$84.13
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $23.97 / $23.97 / $27.38	Facility	TC	$23.97	$23.97	$27.38
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.62 / $8.24 / $21.44	Professional	26	$7.62	$8.24	$21.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.17 / $75.31 / $105.26	Facility		$27.17	$75.31	$105.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $34.75 / $63.36	Professional		$21.13	$34.75	$63.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.19 / $9.36 / $15.63	Professional	26	$5.19	$9.36	$15.63
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.28 / $43.28 / $43.28	Professional	50	$43.28	$43.28	$43.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.94 / $25.48 / $47.73	Professional	TC	$15.94	$25.48	$47.73
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 $24.62 / $34.77 / $53.92	Professional		$24.62	$34.77	$53.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.99 / $9.26 / $14.70	Professional	26	$6.99	$9.26	$14.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.92 / $26.35 / $40.17	Professional	TC	$16.92	$26.35	$40.17