Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.37 / $83.73 / $627.25	Facility		$77.37	$83.73	$627.25
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.04 / $12.04 / $14.86	Facility	26	$12.04	$12.04	$14.86
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $65.33 / $65.33 / $68.87	Facility	TC	$65.33	$65.33	$68.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $83.74 / $344.50	Professional		$68.90	$83.74	$344.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.34 / $15.97 / $49.50	Professional	26	$7.34	$15.97	$49.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.15 / $65.02 / $119.95	Professional	TC	$43.15	$65.02	$119.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $75.05 / $104.46	Professional		$37.52	$75.05	$104.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.79 / $12.28 / $19.25	Professional	26	$5.79	$12.28	$19.25
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $60.16 / $60.16 / $85.22	Professional	TC	$60.16	$60.16	$85.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.28 / $89.03 / $97.70	Professional		$71.28	$89.03	$97.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $14.36 / $22.06	Professional	26	$13.19	$14.36	$22.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.64 / $69.77 / $83.35	Professional	TC	$54.64	$69.77	$83.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $36.42 / $70.83 / $70.83	Facility		$36.42	$70.83	$70.83
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $60.16 / $60.16 / $60.16	Facility	TC	$60.16	$60.16	$60.16
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $10.67 / $10.67 / $10.67	Professional	26	$10.67	$10.67	$10.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $38.69 / $132.50	Professional		$32.13	$38.69	$132.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.47 / $8.34 / $23.72	Professional	26	$5.47	$8.34	$23.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.71 / $32.67 / $107.76	Professional	TC	$25.71	$32.67	$107.76
United Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $73.92 / $138.31	Professional		$37.49	$73.92	$138.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $12.63 / $23.54	Professional	26	$7.37	$12.63	$23.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.17 / $64.59 / $114.77	Professional	TC	$30.17	$64.59	$114.77