Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.04 / $214.50 / $358.02	Facility		$69.04	$214.50	$358.02
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.75 / $36.75 / $45.96	Facility	26	$36.75	$36.75	$45.96
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.29 / $32.29 / $34.32	Facility	TC	$32.29	$32.29	$34.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.75 / $155.82 / $783.22	Professional		$73.75	$155.82	$783.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.07 / $70.98 / $466.05	Professional	26	$31.07	$70.98	$466.05
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.04 / $36.79 / $43.13	Professional	52	$22.04	$36.79	$43.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.20 / $67.03 / $338.00	Professional	TC	$21.20	$67.03	$338.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $66.73 / $112.15	Professional		$33.36	$66.73	$112.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.70 / $37.74 / $59.93	Professional	26	$33.70	$37.74	$59.93
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $30.52 / $30.52 / $52.23	Professional	TC	$30.52	$30.52	$52.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $85.86 / $144.21	Professional		$76.70	$85.86	$144.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.18 / $44.14 / $69.81	Professional	26	$41.18	$44.14	$69.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.42 / $41.73 / $85.95	Professional	TC	$29.42	$41.73	$85.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $49.57 / $63.40 / $63.40	Facility		$49.57	$63.40	$63.40
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $30.52 / $30.52 / $30.52	Facility	TC	$30.52	$30.52	$30.52
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $32.86 / $32.86 / $68.92	Professional	26	$32.86	$32.86	$68.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $60.51 / $142.25	Professional		$32.11	$60.51	$142.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.85 / $26.41 / $73.00	Professional	26	$16.85	$26.41	$73.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.16 / $33.43 / $75.03	Professional	TC	$15.16	$33.43	$75.03
United Facility/Professional Professional Modifier Low / Median / High Price $42.88 / $73.75 / $159.09	Professional		$42.88	$73.75	$159.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.80 / $39.47 / $72.69	Professional	26	$22.80	$39.47	$72.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.27 / $42.89 / $97.69	Professional	TC	$19.27	$42.89	$97.69