Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.14 / $118.03 / $287.95	Facility		$97.14	$118.03	$287.95
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.06 / $34.06 / $43.00	Facility	26	$34.06	$34.06	$43.00
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $63.08 / $63.08 / $75.01	Facility	TC	$63.08	$63.08	$75.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.93 / $126.81 / $454.72	Professional		$90.93	$126.81	$454.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.16 / $38.54 / $87.13	Professional	26	$21.16	$38.54	$87.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.66 / $70.81 / $444.28	Professional	TC	$41.66	$70.81	$444.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.77 / $139.09 / $139.09	Professional		$51.77	$139.09	$139.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $31.51 / $36.90	Professional	26	$20.42	$31.51	$36.90
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $67.29 / $67.29 / $83.02	Professional	TC	$67.29	$67.29	$83.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.74 / $125.80 / $141.32	Professional		$108.74	$125.80	$141.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.70 / $41.28 / $78.06	Professional	26	$38.70	$41.28	$78.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.66 / $72.56 / $84.51	Professional	TC	$19.66	$72.56	$84.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $98.03 / $98.03 / $98.66	Facility		$98.03	$98.03	$98.66
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $67.29 / $67.29 / $67.29	Facility	TC	$67.29	$67.29	$67.29
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $30.74 / $30.74 / $30.74	Professional	26	$30.74	$30.74	$30.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $53.24 / $211.38	Professional		$46.36	$53.24	$211.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.75 / $29.59 / $68.28	Professional	26	$15.75	$29.59	$68.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.32 / $35.72 / $136.88	Professional	TC	$24.32	$35.72	$136.88
United Facility/Professional Professional Modifier Low / Median / High Price $52.09 / $107.19 / $193.04	Professional		$52.09	$107.19	$193.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.33 / $37.32 / $68.04	Professional	26	$21.33	$37.32	$68.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.19 / $69.56 / $125.00	Professional	TC	$37.19	$69.56	$125.00