Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $147.91 / $398.11	Facility		$35.48	$147.91	$398.11
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $10.47 / $12.02	Facility	26	$8.91	$10.47	$12.02
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.70 / $56.23 / $562.34	Facility	TC	$25.70	$56.23	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $36.31 / $89.13	Professional		$8.71	$36.31	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.96 / $39.81	Professional	26	$7.08	$10.96	$39.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.78 / $75.86 / $165.96	Professional	50	$17.78	$75.86	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.18 / $77.62	Professional	TC	$19.95	$28.18	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $41.69	Professional		$21.38	$26.92	$41.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $6.92 / $11.48	Professional	26	$6.03	$6.92	$11.48
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $32.36 / $38.90 / $67.61	Professional	50	$32.36	$38.90	$67.61
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $22.39 / $33.11	Professional	TC	$16.60	$22.39	$33.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $93.33 / $181.97	Facility		$47.86	$93.33	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $48.98	Professional		$35.48	$41.69	$48.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.47 / $14.13	Professional	26	$8.91	$10.47	$14.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $31.62 / $35.48	Professional	TC	$26.92	$31.62	$35.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $39.81 / $81.28	Facility		$31.62	$39.81	$81.28
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $23.99 / $24.55 / $39.81	Facility	TC	$23.99	$24.55	$39.81
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $17.38 / $17.38	Professional	26	$7.94	$17.38	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $81.28 / $97.72	Facility		$25.12	$81.28	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $31.62 / $60.26	Professional		$20.42	$31.62	$60.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $8.91 / $16.22	Professional	26	$5.37	$8.91	$16.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $23.44 / $45.71	Professional	TC	$15.14	$23.44	$45.71
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 $23.44 / $32.36 / $50.12	Professional		$23.44	$32.36	$50.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $8.71 / $13.18	Professional	26	$6.76	$8.71	$13.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $23.44 / $35.48	Professional	TC	$16.60	$23.44	$35.48