Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.35 / $175.52 / $252.20	Facility		$116.35	$175.52	$252.20
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.47 / $69.47 / $86.51	Facility	26	$69.47	$69.47	$86.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.33 / $175.52 / $449.78	Professional		$97.33	$175.52	$449.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.76 / $86.52 / $276.00	Professional	26	$42.76	$86.52	$276.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.56 / $84.03 / $194.98	Professional	TC	$54.56	$84.03	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.02 / $233.11 / $233.11	Professional		$152.02	$233.11	$233.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.98 / $70.58 / $111.06	Professional	26	$62.98	$70.58	$111.06
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $89.04 / $89.04 / $89.04	Professional	TC	$89.04	$89.04	$89.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.07 / $191.11 / $216.37	Professional		$157.07	$191.11	$216.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.25 / $82.53 / $127.80	Professional	26	$77.25	$82.53	$127.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.59 / $92.83 / $116.99	Professional	TC	$54.59	$92.83	$116.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $68.05 / $150.49 / $150.49	Facility		$68.05	$150.49	$150.49
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $61.45 / $61.45 / $61.45	Professional	26	$61.45	$61.45	$61.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $81.66 / $312.42	Professional		$69.84	$81.66	$312.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.49 / $48.42 / $136.55	Professional	26	$31.49	$48.42	$136.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.24 / $47.32 / $162.41	Professional	TC	$33.24	$47.32	$162.41
United Facility/Professional Professional Modifier Low / Median / High Price $86.05 / $154.32 / $285.32	Professional		$86.05	$154.32	$285.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.91 / $74.14 / $136.97	Professional	26	$42.91	$74.14	$136.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.38 / $80.18 / $148.34	Professional	TC	$43.38	$80.18	$148.34