Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.21 / $213.26 / $2,719.40	Facility		$154.21	$213.26	$2,719.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.27 / $104.23 / $139.35	Facility	26	$87.27	$104.23	$139.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.49 / $197.03 / $268.37	Professional		$126.49	$197.03	$268.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.86 / $98.84 / $121.90	Professional	26	$48.86	$98.84	$121.90
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $48.51 / $93.00 / $123.62	Professional	52	$48.51	$93.00	$123.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.48 / $89.38 / $184.12	Professional	TC	$58.48	$89.38	$184.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.12 / $97.12 / $97.12	Professional		$97.12	$97.12	$97.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.94 / $53.94 / $90.21	Professional	26	$53.94	$53.94	$90.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $876.96 / $3,068.78 / $6,613.74	Facility		$876.96	$3,068.78	$6,613.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.82 / $210.14 / $287.44	Professional		$174.82	$210.14	$287.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.35 / $106.61 / $138.86	Professional	26	$86.35	$106.61	$138.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.48 / $88.60 / $214.31	Professional	TC	$77.48	$88.60	$214.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $132.12 / $137.94 / $2,208.19	Facility		$132.12	$137.94	$2,208.19
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $74.48 / $76.22 / $83.09	Professional	26	$74.48	$76.22	$83.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.06 / $203.14 / $461.79	Facility		$105.06	$203.14	$461.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.14 / $168.70 / $368.55	Professional		$89.14	$168.70	$368.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.82 / $81.11 / $154.58	Professional	26	$50.82	$81.11	$154.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.32 / $74.92 / $225.75	Professional	TC	$38.32	$74.92	$225.75
United Facility/Professional Professional Modifier Low / Median / High Price $122.69 / $189.14 / $487.94	Professional		$122.69	$189.14	$487.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.35 / $88.33 / $152.34	Professional	26	$48.35	$88.33	$152.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.16 / $88.48 / $410.24	Professional	TC	$67.16	$88.48	$410.24