Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.76 / $162.76 / $162.76	Facility		$162.76	$162.76	$162.76
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.44 / $37.44 / $37.44	Facility	26	$37.44	$37.44	$37.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.56 / $177.97 / $336.83	Professional		$103.56	$177.97	$336.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.29 / $41.95 / $115.95	Professional	26	$23.29	$41.95	$115.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.95 / $132.19 / $251.07	Professional	TC	$68.95	$132.19	$251.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $146.88 / $146.88	Professional		$146.88	$146.88	$146.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.56 / $40.89 / $50.31	Professional	26	$35.56	$40.89	$50.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.61 / $191.38 / $204.19	Professional		$125.61	$191.38	$204.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.24 / $45.36 / $56.24	Professional	26	$35.24	$45.36	$56.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.98 / $121.07 / $158.83	Professional	TC	$82.98	$121.07	$158.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $149.51 / $149.51 / $195.93	Facility		$149.51	$149.51	$195.93
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $34.07 / $34.07 / $34.07	Professional	26	$34.07	$34.07	$34.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.58 / $81.38 / $334.12	Professional		$53.58	$81.38	$334.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.46 / $26.91 / $75.03	Professional	26	$17.46	$26.91	$75.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.17 / $61.28 / $253.65	Professional	TC	$34.17	$61.28	$253.65
United Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $171.96 / $314.14	Professional		$94.68	$171.96	$314.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.73 / $40.88 / $74.04	Professional	26	$23.73	$40.88	$74.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.31 / $128.33 / $240.11	Professional	TC	$46.31	$128.33	$240.11