Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.12 / $162.59 / $738.26	Facility		$103.12	$162.59	$738.26
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.48 / $19.07 / $25.87	Facility	26	$15.48	$19.07	$25.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $104.59 / $173.18	Professional		$77.58	$104.59	$173.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.65 / $18.00 / $24.81	Professional	26	$12.65	$18.00	$24.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.86 / $85.51 / $149.21	Professional	TC	$63.86	$85.51	$149.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $65.45 / $65.45	Professional		$65.45	$65.45	$65.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.15 / $35.15 / $35.15	Professional	26	$35.15	$35.15	$35.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.85 / $302.42 / $574.86	Facility		$166.85	$302.42	$574.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.39 / $128.63 / $153.07	Professional		$117.39	$128.63	$153.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.23 / $23.28 / $29.61	Professional	26	$18.23	$23.28	$29.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $96.40 / $105.54 / $124.86	Professional	TC	$96.40	$105.54	$124.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $87.60 / $93.36 / $153.88	Facility		$87.60	$93.36	$153.88
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $14.05 / $14.05 / $15.49	Professional	26	$14.05	$14.05	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.45 / $241.44 / $336.72	Facility		$83.45	$241.44	$336.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.50 / $95.80 / $167.37	Professional		$58.50	$95.80	$167.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.58 / $17.29 / $28.82	Professional	26	$9.58	$17.29	$28.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.91 / $80.23 / $136.38	Professional	TC	$48.91	$80.23	$136.38
United Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $95.97 / $142.38	Professional		$64.98	$95.97	$142.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $17.23 / $27.89	Professional	26	$13.19	$17.23	$27.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.00 / $78.59 / $127.81	Professional	TC	$52.00	$78.59	$127.81