Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $27.54 / $27.54	Facility	26	$27.54	$27.54	$27.54
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $37.15 / $162.18 / $162.18	Facility	TC	$37.15	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $131.83	Professional		$51.29	$75.86	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $30.90 / $87.10	Professional	26	$15.85	$30.90	$87.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $39.81 / $67.61	Professional	TC	$25.12	$39.81	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $100.00	Professional		$63.10	$63.10	$100.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $28.18 / $43.65	Professional	26	$12.59	$28.18	$43.65
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $34.67 / $35.48	Professional	TC	$34.67	$34.67	$35.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $120.23	Professional		$77.62	$81.28	$120.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $32.36 / $67.61	Professional	26	$32.36	$32.36	$67.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $47.86 / $53.70	Professional	TC	$45.71	$47.86	$53.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $63.10 / $63.10	Facility		$43.65	$63.10	$63.10
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $38.02 / $38.02 / $38.02	Facility	TC	$38.02	$38.02	$38.02
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $25.70 / $25.70	Professional	26	$25.70	$25.70	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $54.95 / $144.54	Professional		$30.20	$54.95	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $27.54 / $64.57	Professional	26	$12.59	$27.54	$64.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $30.20 / $67.61	Professional	TC	$17.38	$30.20	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $72.44 / $154.88	Professional		$39.81	$72.44	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $34.67 / $81.28	Professional	26	$16.98	$34.67	$81.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $39.81 / $79.43	Professional	TC	$22.91	$39.81	$79.43