Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $275.42 / $501.19	Facility		$38.90	$275.42	$501.19
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $17.78 / $23.99	Facility	26	$15.14	$17.78	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.90 / $67.61	Professional		$25.12	$38.90	$67.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $17.38 / $56.23	Professional	26	$10.96	$17.38	$56.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $40.74	Professional	TC	$16.98	$22.91	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.84 / $31.62	Professional		$26.92	$28.84	$31.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $12.88 / $18.62	Professional	26	$9.77	$12.88	$18.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $38.90 / $63.10	Facility		$1.32	$38.90	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $56.23	Professional		$39.81	$47.86	$56.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $17.78 / $25.12	Professional	26	$15.14	$17.78	$25.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $29.51 / $33.11	Professional	TC	$25.12	$29.51	$33.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $35.48 / $38.90	Facility		$13.49	$35.48	$38.90
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $14.45 / $14.45	Professional	26	$12.59	$14.45	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.48 / $67.61	Professional		$24.55	$35.48	$67.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $15.14 / $30.20	Professional	26	$9.55	$15.14	$30.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $22.91 / $42.66	Professional	TC	$14.79	$22.91	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $12.30 / $45.71	Facility		$11.75	$12.30	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $54.95	Professional		$26.92	$36.31	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $14.79 / $22.39	Professional	26	$11.48	$14.79	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $21.38 / $29.51	Professional	TC	$15.14	$21.38	$29.51