Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.39 / $64.39 / $64.39	Facility		$64.39	$64.39	$64.39
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.29 / $27.29 / $27.29	Facility	26	$27.29	$27.29	$27.29
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $37.10 / $37.10 / $37.10	Facility	TC	$37.10	$37.10	$37.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $81.89 / $129.00	Professional		$41.31	$81.89	$129.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.91 / $31.03 / $60.63	Professional	26	$16.91	$31.03	$60.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.40 / $42.39 / $77.11	Professional	TC	$24.40	$42.39	$77.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.07 / $62.72 / $99.51	Professional		$60.07	$62.72	$99.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.47 / $25.44 / $43.99	Professional	26	$17.47	$25.44	$43.99
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $35.08 / $35.08 / $35.08	Professional	TC	$35.08	$35.08	$35.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.92 / $81.06 / $190.96	Professional		$56.92	$81.06	$190.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.46 / $32.72 / $107.43	Professional	26	$25.46	$32.72	$107.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.46 / $48.34 / $83.52	Professional	TC	$31.46	$48.34	$83.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $44.57 / $59.45 / $59.45	Facility		$44.57	$59.45	$59.45
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $35.08 / $35.08 / $35.08	Facility	TC	$35.08	$35.08	$35.08
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $24.37 / $24.37 / $24.37	Professional	26	$24.37	$24.37	$24.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $72.37 / $142.94	Professional		$30.04	$72.37	$142.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.49 / $27.60 / $65.39	Professional	26	$12.49	$27.60	$65.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.54 / $30.47 / $77.36	Professional	TC	$17.54	$30.47	$77.36
United Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $71.73 / $164.95	Professional		$40.75	$71.73	$164.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.86 / $31.76 / $80.59	Professional	26	$16.86	$31.76	$80.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $42.73 / $78.80	Professional	TC	$23.82	$42.73	$78.80