Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.96 / $107.96 / $117.18	Facility		$107.96	$107.96	$117.18
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.95 / $25.95 / $32.57	Facility	26	$25.95	$25.95	$32.57
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $82.01 / $82.01 / $84.60	Facility	TC	$82.01	$82.01	$84.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.20 / $117.76 / $395.00	Professional		$94.20	$117.76	$395.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.30 / $32.57 / $139.44	Professional	26	$22.30	$32.57	$139.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.22 / $79.87 / $108.66	Professional	TC	$54.22	$79.87	$108.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $97.64 / $150.09	Professional		$51.33	$97.64	$150.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.65 / $26.94 / $42.89	Professional	26	$12.65	$26.94	$42.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $73.59 / $73.59 / $73.59	Professional	TC	$73.59	$73.59	$73.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.40 / $122.99 / $133.13	Professional		$88.40	$122.99	$133.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.52 / $31.51 / $49.74	Professional	26	$29.52	$31.51	$49.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.47 / $85.67 / $101.64	Professional	TC	$49.47	$85.67	$101.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $50.66 / $97.05 / $97.05	Facility		$50.66	$97.05	$97.05
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $73.59 / $73.59 / $73.59	Facility	TC	$73.59	$73.59	$73.59
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $23.46 / $23.46 / $23.46	Professional	26	$23.46	$23.46	$23.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $53.98 / $190.11	Professional		$45.46	$53.98	$190.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.03 / $18.82 / $52.07	Professional	26	$12.03	$18.82	$52.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.84 / $41.01 / $134.35	Professional	TC	$30.84	$41.01	$134.35
United Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $102.87 / $192.47	Professional		$45.79	$102.87	$192.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.17 / $28.28 / $51.47	Professional	26	$16.17	$28.28	$51.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.64 / $79.40 / $141.00	Professional	TC	$41.64	$79.40	$141.00