Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.80 / $224.75 / $673.47	Facility		$93.80	$224.75	$673.47
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.52 / $36.35 / $47.50	Facility	26	$32.52	$36.35	$47.50
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $65.29 / $158.03 / $360.62	Facility	TC	$65.29	$158.03	$360.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $104.11 / $153.52	Professional		$75.92	$104.11	$153.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.50 / $34.59 / $58.58	Professional	26	$24.50	$34.59	$58.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.60 / $68.06 / $102.30	Professional	TC	$50.60	$68.06	$102.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.36 / $65.02 / $80.16	Professional		$56.36	$65.02	$80.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.56 / $26.02 / $56.94	Professional	26	$20.56	$26.02	$56.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.09 / $178.32 / $276.48	Facility		$118.09	$178.32	$276.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.01 / $106.68 / $183.41	Professional		$96.01	$106.68	$183.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.18 / $35.76 / $53.50	Professional	26	$32.18	$35.76	$53.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.83 / $70.92 / $131.94	Professional	TC	$63.83	$70.92	$131.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $83.12 / $106.05	Facility		$75.84	$83.12	$106.05
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $50.47 / $50.47 / $56.05	Facility	TC	$50.47	$50.47	$56.05
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $25.37 / $28.80 / $56.47	Professional	26	$25.37	$28.80	$56.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.67 / $167.50 / $272.74	Facility		$111.67	$167.50	$272.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.87 / $88.11 / $153.61	Professional		$50.87	$88.11	$153.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.30 / $29.75 / $51.29	Professional	26	$17.30	$29.75	$51.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.56 / $57.65 / $102.52	Professional	TC	$33.56	$57.65	$102.52
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 $68.08 / $92.75 / $148.40	Professional		$68.08	$92.75	$148.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.73 / $29.95 / $50.07	Professional	26	$21.73	$29.95	$50.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.36 / $62.20 / $97.31	Professional	TC	$46.36	$62.20	$97.31