Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.15 / $266.82 / $841.57	Facility		$97.15	$266.82	$841.57
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $50.85 / $64.31	Facility	26	$44.67	$50.85	$64.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.58 / $136.33 / $203.66	Professional		$101.58	$136.33	$203.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.28 / $48.29 / $74.45	Professional	26	$33.28	$48.29	$74.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.20 / $88.09 / $133.91	Professional	TC	$67.20	$88.09	$133.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $101.91 / $152.87	Professional		$79.26	$101.91	$152.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.25 / $36.27 / $70.73	Professional	26	$28.25	$36.27	$70.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.09 / $194.97 / $276.48	Facility		$118.09	$194.97	$276.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.50 / $142.78 / $220.50	Professional		$128.50	$142.78	$220.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.33 / $49.25 / $72.37	Professional	26	$44.33	$49.25	$72.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.50 / $93.53 / $156.06	Professional	TC	$79.50	$93.53	$156.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $101.02 / $101.79 / $113.00	Facility		$101.02	$101.79	$113.00
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $34.84 / $38.90 / $79.51	Professional	26	$34.84	$38.90	$79.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.18 / $222.27 / $361.10	Facility		$148.18	$222.27	$361.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.77 / $121.27 / $205.10	Professional		$67.77	$121.27	$205.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.76 / $41.73 / $71.77	Professional	26	$23.76	$41.73	$71.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.01 / $77.29 / $133.69	Professional	TC	$44.01	$77.29	$133.69
United Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $125.23 / $197.34	Professional		$93.92	$125.23	$197.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.47 / $41.86 / $68.08	Professional	26	$29.47	$41.86	$68.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.40 / $82.58 / $129.22	Professional	TC	$62.40	$82.58	$129.22