Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $346.74 / $346.74	Facility		$114.82	$346.74	$346.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Facility	26	$40.74	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $407.38	Professional		$75.86	$128.82	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $91.20 / $380.19	Professional	26	$34.67	$91.20	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $83.18 / $363.08	Professional	TC	$50.12	$83.18	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $208.93	Professional		$104.71	$199.53	$208.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $38.02 / $44.67	Professional	26	$18.62	$38.02	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $144.54 / $177.83	Professional		$138.04	$144.54	$177.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $48.98 / $75.86	Professional	26	$47.86	$48.98	$75.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $89.13 / $102.33	Professional	TC	$79.43	$89.13	$102.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $117.49	Facility		$114.82	$114.82	$117.49
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $38.90 / $38.90	Professional	26	$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $204.17	Professional		$52.48	$66.07	$204.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $38.02 / $74.13	Professional	26	$18.62	$38.02	$74.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $38.90 / $128.82	Professional	TC	$33.11	$38.90	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $229.09	Professional		$67.61	$123.03	$229.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $46.77 / $83.18	Professional	26	$26.30	$46.77	$83.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $79.43 / $147.91	Professional	TC	$34.67	$79.43	$147.91