Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.14 / $308.77 / $5,389.16	Facility		$275.14	$308.77	$5,389.16
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.20 / $81.20 / $101.01	Facility	26	$81.20	$81.20	$101.01
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $193.95 / $193.95 / $207.77	Facility	TC	$193.95	$193.95	$207.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.05 / $286.83 / $515.75	Professional		$178.05	$286.83	$515.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.76 / $101.01 / $515.02	Professional	26	$67.76	$101.01	$515.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.85 / $207.77 / $391.01	Professional	TC	$127.85	$207.77	$391.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.43 / $470.61 / $470.61	Professional		$251.43	$470.61	$470.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.87 / $73.76 / $86.53	Professional	26	$47.87	$73.76	$86.53
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $177.67 / $177.67 / $177.67	Professional	TC	$177.67	$177.67	$177.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.14 / $324.89 / $341.08	Professional		$250.14	$324.89	$341.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.56 / $96.78 / $160.13	Professional	26	$75.56	$96.78	$160.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $124.36 / $219.88 / $244.30	Professional	TC	$124.36	$219.88	$244.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $85.70 / $249.68 / $249.68	Facility		$85.70	$249.68	$249.68
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $177.67 / $177.67 / $177.67	Facility	TC	$177.67	$177.67	$177.67
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $72.01 / $72.01 / $72.01	Professional	26	$72.01	$72.01	$72.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $138.63 / $554.41	Professional		$108.81	$138.63	$554.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.88 / $55.53 / $160.26	Professional	26	$36.88	$55.53	$160.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.10 / $94.35 / $379.12	Professional	TC	$57.10	$94.35	$379.12
United Facility/Professional Professional Modifier Low / Median / High Price $144.96 / $281.50 / $506.31	Professional		$144.96	$281.50	$506.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.09 / $86.62 / $160.09	Professional	26	$50.09	$86.62	$160.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.02 / $192.32 / $346.22	Professional	TC	$103.02	$192.32	$346.22