Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.14 / $207.82 / $399.75	Facility		$37.14	$207.82	$399.75
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.44 / $10.44 / $13.56	Facility	26	$8.44	$10.44	$13.56
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.61 / $236.97 / $503.94	Facility	TC	$25.61	$236.97	$503.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $35.13 / $60.24	Professional		$25.52	$35.13	$60.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $10.02 / $19.01	Professional	26	$6.84	$10.02	$19.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.16 / $93.24 / $93.24	Professional	50	$87.16	$93.24	$93.24
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.23 / $17.82 / $25.74	Professional	52	$11.23	$17.82	$25.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.32 / $25.61 / $44.93	Professional	TC	$21.32	$25.61	$44.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $31.35 / $46.28	Professional		$22.03	$31.35	$46.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.40 / $8.46 / $8.84	Professional	26	$7.40	$8.46	$8.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $37.97 / $37.97 / $37.97	Professional	50	$37.97	$37.97	$37.97
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $36.72 / $36.72 / $36.72	Professional	TC	$36.72	$36.72	$36.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.05 / $94.61 / $182.65	Facility		$50.05	$94.61	$182.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $43.49 / $51.89	Professional		$39.08	$43.49	$51.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.49 / $12.17 / $15.15	Professional	26	$9.49	$12.17	$15.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.66 / $32.84 / $41.81	Professional	TC	$28.66	$32.84	$41.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $31.49 / $79.52	Facility		$29.60	$31.49	$79.52
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $22.26 / $22.26 / $24.83	Facility	TC	$22.26	$22.26	$24.83
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.34 / $7.92 / $18.79	Professional	26	$7.34	$7.92	$18.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $69.83 / $97.88	Facility		$25.23	$69.83	$97.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $32.57 / $59.45	Professional		$19.80	$32.57	$59.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $9.02 / $15.07	Professional	26	$5.01	$9.02	$15.07
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $40.56 / $40.56 / $40.56	Professional	50	$40.56	$40.56	$40.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.80 / $24.21 / $44.38	Professional	TC	$14.80	$24.21	$44.38
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 $23.83 / $33.20 / $51.39	Professional		$23.83	$33.20	$51.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $9.10 / $13.96	Professional	26	$6.74	$9.10	$13.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.92 / $24.54 / $35.67	Professional	TC	$16.92	$24.54	$35.67