Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.55 / $113.48 / $536.90	Facility		$99.55	$113.48	$536.90
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.85 / $60.85 / $76.09	Facility	26	$60.85	$60.85	$76.09
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $37.39 / $37.39 / $38.70	Facility	TC	$37.39	$37.39	$38.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.32 / $103.64 / $199.44	Professional		$63.32	$103.64	$199.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.96 / $76.70 / $509.70	Professional	26	$50.96	$76.70	$509.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.46 / $35.31 / $77.53	Professional	TC	$25.46	$35.31	$77.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $158.88 / $158.88	Professional		$158.88	$158.88	$158.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.94 / $62.79 / $98.96	Professional	26	$55.94	$62.79	$98.96
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.79 / $34.79 / $34.79	Professional	TC	$34.79	$34.79	$34.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $121.38 / $145.44	Professional		$104.98	$121.38	$145.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.19 / $73.04 / $109.49	Professional	26	$67.19	$73.04	$109.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.61 / $39.84 / $48.34	Professional	TC	$35.61	$39.84	$48.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $63.79 / $89.43 / $89.43	Facility		$63.79	$89.43	$89.43
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $34.79 / $34.79 / $34.79	Facility	TC	$34.79	$34.79	$34.79
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $54.63 / $54.63 / $54.63	Professional	26	$54.63	$54.63	$54.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.37 / $54.54 / $200.33	Professional		$45.37	$54.54	$200.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.97 / $41.53 / $121.01	Professional	26	$27.97	$41.53	$121.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.01 / $19.35 / $68.26	Professional	TC	$13.01	$19.35	$68.26
United Facility/Professional Professional Modifier Low / Median / High Price $56.27 / $97.78 / $182.95	Professional		$56.27	$97.78	$182.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.72 / $65.56 / $120.61	Professional	26	$37.72	$65.56	$120.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.84 / $36.14 / $62.34	Professional	TC	$16.84	$36.14	$62.34