Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $384.15 / $424.45	Facility		$40.11	$384.15	$424.45
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.35 / $11.35 / $13.99	Facility	26	$11.35	$11.35	$13.99
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.76 / $28.76 / $32.02	Facility	TC	$28.76	$28.76	$32.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $55.25 / $138.13	Professional		$42.21	$55.25	$138.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $12.84 / $45.95	Professional	26	$6.92	$12.84	$45.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.86 / $46.06 / $59.46	Professional	TC	$18.86	$46.06	$59.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $37.39 / $70.36	Professional		$19.66	$37.39	$70.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.28 / $11.56 / $18.14	Professional	26	$10.28	$11.56	$18.14
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $27.11 / $27.11 / $27.11	Professional	TC	$27.11	$27.11	$27.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.96 / $50.96 / $80.89	Professional		$46.96	$50.96	$80.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.41 / $13.53 / $20.17	Professional	26	$12.41	$13.53	$20.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.41 / $37.44 / $65.90	Professional	TC	$23.41	$37.44	$65.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $38.39	Facility		$37.15	$37.15	$38.39
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $27.11 / $27.11 / $27.11	Facility	TC	$27.11	$27.11	$27.11
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $10.03 / $10.03 / $10.03	Professional	26	$10.03	$10.03	$10.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.69 / $34.04 / $82.76	Professional		$18.69	$34.04	$82.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.14 / $7.61 / $22.37	Professional	26	$5.14	$7.61	$22.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.55 / $26.43 / $58.45	Professional	TC	$13.55	$26.43	$58.45
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.86 / $94.75	Professional		$25.12	$41.86	$94.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.89 / $11.91 / $22.19	Professional	26	$6.89	$11.91	$22.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.97 / $31.38 / $73.70	Professional	TC	$17.97	$31.38	$73.70