Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $141.25 / $1,071.52	Facility		$33.88	$141.25	$1,071.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $38.90 / $51.29	Facility	26	$33.88	$38.90	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $75.86 / $208.93	Professional		$47.86	$75.86	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $38.90 / $117.49	Professional	26	$25.12	$38.90	$117.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.84 / $131.83	Professional	TC	$20.89	$28.84	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $48.98 / $74.13	Professional		$43.65	$48.98	$74.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $30.20 / $38.90	Professional	26	$22.39	$30.20	$38.90
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $28.18 / $28.18	Professional	TC	$28.18	$28.18	$28.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $89.13 / $251.19	Facility		$37.15	$89.13	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $72.44 / $102.33	Professional		$61.66	$72.44	$102.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $38.90 / $56.23	Professional	26	$33.11	$38.90	$56.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $33.88 / $43.65	Professional	TC	$28.84	$33.88	$43.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $39.81 / $61.66	Facility		$31.62	$39.81	$61.66
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $31.62 / $31.62	Professional	26	$28.18	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $239.88	Professional		$39.81	$64.57	$239.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $33.11 / $61.66	Professional	26	$20.89	$33.11	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $29.51 / $194.98	Professional	TC	$17.78	$29.51	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $69.18 / $169.82	Facility		$24.55	$69.18	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $181.97	Professional		$46.77	$64.57	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $32.36 / $50.12	Professional	26	$24.55	$32.36	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $27.54 / $120.23	Professional	TC	$19.95	$27.54	$120.23