Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.81 / $216.72 / $429.00	Facility		$80.81	$216.72	$429.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.07 / $41.95 / $54.75	Facility	26	$37.07	$41.95	$54.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $96.60 / $162.40	Professional		$71.33	$96.60	$162.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $39.92 / $60.05	Professional	26	$26.92	$39.92	$60.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $53.40 / $625.50 / $727.50	Professional	50	$53.40	$625.50	$727.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.41 / $56.68 / $90.70	Professional	TC	$44.41	$56.68	$90.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.50 / $63.89 / $78.61	Professional		$58.50	$63.89	$78.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.96 / $30.39 / $60.15	Professional	26	$23.96	$30.39	$60.15
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $168.35 / $168.35 / $168.35	Professional	50	$168.35	$168.35	$168.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.70 / $126.24 / $182.65	Facility		$78.70	$126.24	$182.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.09 / $104.81 / $157.93	Professional		$89.09	$104.81	$157.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.54 / $49.09 / $62.36	Professional	26	$35.54	$49.09	$62.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.54 / $60.15 / $96.79	Professional	TC	$53.54	$60.15	$96.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $57.07 / $74.42 / $81.99	Facility		$57.07	$74.42	$81.99
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $29.64 / $33.15 / $33.83	Professional	26	$29.64	$33.15	$33.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.67 / $146.50 / $238.67	Facility		$97.67	$146.50	$238.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $85.61 / $152.22	Professional		$49.98	$85.61	$152.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.21 / $33.15 / $61.89	Professional	26	$20.21	$33.15	$61.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.77 / $49.56 / $89.55	Professional	TC	$29.77	$49.56	$89.55
United Facility/Professional Facility Modifier Low / Median / High Price $182.03 / $182.03 / $182.03	Facility		$182.03	$182.03	$182.03
United Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $89.14 / $149.47	Professional		$65.48	$89.14	$149.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.61 / $34.95 / $56.93	Professional	26	$25.61	$34.95	$56.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.97 / $51.77 / $94.36	Professional	TC	$38.97	$51.77	$94.36