Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $37.15	Facility	26	$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $371.54	Professional		$107.15	$177.83	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $45.71 / $229.09	Professional	26	$28.18	$45.71	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $109.65 / $208.93	Professional	TC	$74.13	$109.65	$208.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $40.74 / $61.66	Professional	26	$35.48	$40.74	$61.66
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $117.49 / $117.49	Professional	TC	$117.49	$117.49	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $218.78	Professional		$128.82	$194.98	$218.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $45.71 / $53.70	Professional	26	$44.67	$45.71	$53.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $147.91 / $162.18	Professional	TC	$83.18	$147.91	$162.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $194.98	Facility		$165.96	$165.96	$194.98
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $35.48 / $35.48	Professional	26	$35.48	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $275.42	Professional		$63.10	$79.43	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $26.92 / $67.61	Professional	26	$17.38	$26.92	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $61.66 / $208.93	Professional	TC	$33.88	$61.66	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $169.82 / $295.12	Professional		$87.10	$169.82	$295.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $39.81 / $74.13	Professional	26	$23.99	$39.81	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $125.89 / $239.88	Professional	TC	$46.77	$125.89	$239.88