Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.71 / $86.45 / $465.74	Facility		$84.71	$86.45	$465.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.61 / $27.61 / $34.60	Facility	26	$27.61	$27.61	$34.60
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $57.10 / $57.10 / $68.70	Facility	TC	$57.10	$57.10	$68.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $103.31 / $448.43	Professional		$59.78	$103.31	$448.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.12 / $46.95 / $258.23	Professional	26	$17.12	$46.95	$258.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.92 / $69.28 / $539.80	Professional	TC	$37.92	$69.28	$539.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $88.65 / $103.90	Professional		$44.33	$88.65	$103.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.47 / $26.05 / $33.54	Professional	26	$13.47	$26.05	$33.54
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $58.99 / $58.99 / $58.99	Professional	TC	$58.99	$58.99	$58.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $102.52 / $110.49	Professional		$72.56	$102.52	$110.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.68 / $32.51 / $38.36	Professional	26	$23.68	$32.51	$38.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.88 / $70.01 / $74.31	Professional	TC	$48.88	$70.01	$74.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $83.93 / $83.93 / $86.34	Facility		$83.93	$83.93	$86.34
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $58.99 / $58.99 / $58.99	Facility	TC	$58.99	$58.99	$58.99
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $24.94 / $24.94 / $24.94	Professional	26	$24.94	$24.94	$24.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $44.33 / $183.45	Professional		$30.94	$44.33	$183.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.62 / $14.61 / $54.77	Professional	26	$10.62	$14.61	$54.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.32 / $30.59 / $125.34	Professional	TC	$20.32	$30.59	$125.34
United Facility/Professional Professional Modifier Low / Median / High Price $49.37 / $90.44 / $169.22	Professional		$49.37	$90.44	$169.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.70 / $29.26 / $54.75	Professional	26	$13.70	$29.26	$54.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.50 / $61.18 / $114.47	Professional	TC	$30.50	$61.18	$114.47