Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.36 / $165.07 / $553.37	Facility		$114.36	$165.07	$553.37
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.86 / $32.83 / $45.11	Facility	26	$27.86	$32.83	$45.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.17 / $117.59 / $192.58	Professional		$75.17	$117.59	$192.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.25 / $32.83 / $45.11	Professional	26	$25.25	$32.83	$45.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.87 / $84.76 / $151.54	Professional	TC	$54.87	$84.76	$151.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.13 / $29.13 / $29.13	Professional	26	$29.13	$29.13	$29.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $94.53 / $205.21	Facility		$1.35	$94.53	$205.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.71 / $140.84 / $183.15	Professional		$119.71	$140.84	$183.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.00 / $34.29 / $50.90	Professional	26	$31.00	$34.29	$50.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $90.56 / $106.54 / $132.18	Professional	TC	$90.56	$106.54	$132.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $98.79 / $106.93 / $131.44	Facility		$98.79	$106.93	$131.44
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $24.10 / $27.36 / $27.68	Professional	26	$24.10	$27.36	$27.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $96.90 / $163.99	Professional		$66.09	$96.90	$163.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.42 / $25.98 / $48.63	Professional	26	$16.42	$25.98	$48.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.55 / $79.31 / $123.25	Professional	TC	$48.55	$79.31	$123.25
United Facility/Professional Professional Modifier Low / Median / High Price $68.33 / $105.93 / $166.55	Professional		$68.33	$105.93	$166.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.44 / $29.72 / $47.98	Professional	26	$22.44	$29.72	$47.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.33 / $77.48 / $131.63	Professional	TC	$44.33	$77.48	$131.63