Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.75 / $202.59 / $516.04	Facility		$29.75	$202.59	$516.04
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.67 / $9.61 / $11.09	Facility	26	$7.67	$9.61	$11.09
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.04 / $73.64 / $500.28	Facility	TC	$21.04	$73.64	$500.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $30.00 / $47.57	Professional		$21.75	$30.00	$47.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.25 / $8.97 / $14.33	Professional	26	$6.25	$8.97	$14.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $20.55 / $21.90 / $75.81	Professional	50	$20.55	$21.90	$75.81
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.14 / $15.17 / $21.07	Professional	52	$9.14	$15.17	$21.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.39 / $21.12 / $36.25	Professional	TC	$16.39	$21.12	$36.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $26.19 / $26.19	Professional		$26.19	$26.19	$26.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $7.06 / $13.66	Professional	26	$6.92	$7.06	$13.66
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.59 / $21.59 / $21.59	Professional	TC	$21.59	$21.59	$21.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.17 / $94.61 / $182.65	Facility		$45.17	$94.61	$182.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.71 / $36.56 / $44.96	Professional		$32.71	$36.56	$44.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.72 / $11.18 / $13.94	Professional	26	$8.72	$11.18	$13.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.54 / $27.15 / $35.49	Professional	TC	$23.54	$27.15	$35.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $24.73 / $26.27 / $71.72	Facility		$24.73	$26.27	$71.72
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $17.98 / $17.98 / $20.05	Facility	TC	$17.98	$17.98	$20.05
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $7.56 / $17.07	Professional	26	$6.74	$7.56	$17.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.38 / $56.14 / $80.56	Facility		$20.38	$56.14	$80.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $27.62 / $48.76	Professional		$16.55	$27.62	$48.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.59 / $8.30 / $13.87	Professional	26	$4.59	$8.30	$13.87
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.13 / $35.13 / $35.13	Professional	50	$35.13	$35.13	$35.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.96 / $21.58 / $34.89	Professional	TC	$11.96	$21.58	$34.89
United Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $28.34 / $45.04	Professional		$19.93	$28.34	$45.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.20 / $8.07 / $12.77	Professional	26	$6.20	$8.07	$12.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.37 / $20.41 / $32.79	Professional	TC	$14.37	$20.41	$32.79