Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $131.83 / $295.12	Facility		$31.62	$131.83	$295.12
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.96 / $12.88	Facility	26	$10.00	$10.96	$12.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.89 / $26.30 / $251.19	Facility	TC	$20.89	$26.30	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $63.10	Professional		$23.99	$33.11	$63.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $42.66	Professional	26	$7.08	$10.00	$42.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $21.88 / $45.71	Professional	TC	$15.85	$21.88	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $27.54	Professional		$18.20	$22.39	$27.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $7.41 / $11.75	Professional	26	$6.46	$7.41	$11.75
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $16.98 / $23.99	Professional	TC	$14.13	$16.98	$23.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $47.86 / $95.50	Facility		$28.18	$47.86	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $37.15 / $43.65	Professional		$31.62	$37.15	$43.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $11.48 / $14.79	Professional	26	$9.55	$11.48	$14.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $25.70 / $28.84	Professional	TC	$21.88	$25.70	$28.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $28.84 / $74.13	Facility		$27.54	$28.84	$74.13
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $19.50 / $19.95 / $19.95	Facility	TC	$19.50	$19.95	$19.95
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $8.91 / $14.45	Professional	26	$8.51	$8.91	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $42.66 / $81.28	Facility		$20.89	$42.66	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $27.54 / $52.48	Professional		$19.05	$27.54	$52.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $9.55 / $16.98	Professional	26	$6.17	$9.55	$16.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $19.50 / $36.31	Professional	TC	$12.88	$19.50	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $138.04 / $208.93	Facility		$61.66	$138.04	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $44.67	Professional		$20.89	$28.84	$44.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.33 / $14.13	Professional	26	$7.24	$9.33	$14.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $19.05 / $30.20	Professional	TC	$13.49	$19.05	$30.20