Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $269.15 / $575.44	Facility		$117.49	$269.15	$575.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $42.66 / $42.66	Facility	26	$33.88	$42.66	$42.66
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $63.10 / $75.86 / $288.40	Facility	TC	$63.10	$75.86	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $457.09	Professional		$70.79	$125.89	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $52.48 / $446.68	Professional	26	$22.39	$52.48	$446.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $70.79 / $208.93	Professional	TC	$51.29	$70.79	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $104.71 / $138.04	Professional		$51.29	$104.71	$138.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $31.62 / $56.23	Professional	26	$15.49	$31.62	$56.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $67.61 / $69.18	Professional	TC	$67.61	$67.61	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $138.04	Professional		$120.23	$120.23	$138.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $41.69 / $57.54	Professional	26	$40.74	$41.69	$57.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $79.43 / $85.11	Professional	TC	$63.10	$79.43	$85.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $128.82	Facility		$104.71	$104.71	$128.82
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $74.13 / $74.13 / $74.13	Facility	TC	$74.13	$74.13	$74.13
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Professional	26	$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $53.70 / $173.78	Professional		$48.98	$53.70	$173.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $29.51 / $61.66	Professional	26	$15.85	$29.51	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $35.48 / $117.49	Professional	TC	$24.55	$35.48	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $107.15 / $190.55	Professional		$52.48	$107.15	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $37.15 / $67.61	Professional	26	$21.88	$37.15	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $69.18 / $125.89	Professional	TC	$37.15	$69.18	$125.89