Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.71 / $62.67 / $833.08	Facility		$38.71	$62.67	$833.08
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.01 / $17.94 / $24.09	Facility	26	$14.01	$17.94	$24.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $40.42 / $63.67	Professional		$30.91	$40.42	$63.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.66 / $17.21 / $22.01	Professional	26	$11.66	$17.21	$22.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $23.21 / $43.20	Professional	TC	$17.89	$23.21	$43.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $24.97 / $24.97	Professional		$24.97	$24.97	$24.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.62 / $14.80 / $23.09	Professional	26	$12.62	$14.80	$23.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $38.65 / $68.88	Facility		$1.35	$38.65	$68.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $47.32 / $64.65	Professional		$39.93	$47.32	$64.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.36 / $17.97 / $26.54	Professional	26	$16.36	$17.97	$26.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.90 / $29.35 / $38.15	Professional	TC	$22.90	$29.35	$38.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $33.69 / $35.72	Facility		$13.43	$33.69	$35.72
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $13.81 / $14.40	Professional	26	$12.29	$13.81	$14.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $36.74 / $62.53	Professional		$22.63	$36.74	$62.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $13.96 / $25.53	Professional	26	$8.39	$13.96	$25.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.23 / $22.75 / $36.54	Professional	TC	$14.23	$22.75	$36.54
United Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $37.17 / $56.61	Professional		$26.64	$37.17	$56.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.36 / $15.46 / $23.68	Professional	26	$11.36	$15.46	$23.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.98 / $21.68 / $31.32	Professional	TC	$14.98	$21.68	$31.32