Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.87 / $183.42 / $569.50	Facility		$96.87	$183.42	$569.50
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.31 / $35.00 / $45.76	Facility	26	$31.31	$35.00	$45.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.48 / $125.93 / $187.62	Professional		$96.48	$125.93	$187.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.62 / $33.31 / $51.82	Professional	26	$23.62	$33.31	$51.82
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $39.31 / $62.97 / $68.92	Professional	52	$39.31	$62.97	$68.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.98 / $94.18 / $143.18	Professional	TC	$71.98	$94.18	$143.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.87 / $95.79 / $143.69	Professional		$70.87	$95.79	$143.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.72 / $25.59 / $41.91	Professional	26	$19.72	$25.59	$41.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.52 / $182.61 / $276.48	Facility		$110.52	$182.61	$276.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.82 / $134.22 / $204.11	Professional		$122.82	$134.22	$204.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.97 / $34.40 / $51.57	Professional	26	$30.97	$34.40	$51.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $84.85 / $99.82 / $152.55	Professional	TC	$84.85	$99.82	$152.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $95.17 / $102.18 / $107.32	Facility		$95.17	$102.18	$107.32
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $24.44 / $27.75 / $71.69	Professional	26	$24.44	$27.75	$71.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.13 / $238.70 / $389.01	Facility		$159.13	$238.70	$389.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $103.03 / $187.00	Professional		$63.70	$103.03	$187.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.66 / $29.04 / $50.10	Professional	26	$16.66	$29.04	$50.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.04 / $78.48 / $141.47	Professional	TC	$47.04	$78.48	$141.47
United Facility/Professional Facility Modifier Low / Median / High Price $245.18 / $245.18 / $245.18	Facility		$245.18	$245.18	$245.18
United Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $114.92 / $179.14	Professional		$80.41	$114.92	$179.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.21 / $29.16 / $46.03	Professional	26	$20.21	$29.16	$46.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.50 / $88.04 / $135.37	Professional	TC	$60.50	$88.04	$135.37