Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.95 / $106.28 / $361.17	Facility		$48.95	$106.28	$361.17
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.94 / $24.84 / $55.02	Facility	26	$23.94	$24.84	$55.02
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.99 / $304.11 / $375.87	Facility	TC	$24.99	$304.11	$375.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.49 / $60.28 / $85.17	Professional		$33.49	$60.28	$85.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.51 / $24.51 / $32.14	Professional	26	$16.51	$24.51	$32.14
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.46 / $24.48 / $30.96	Professional	52	$12.46	$24.48	$30.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.79 / $26.55 / $55.64	Professional	TC	$13.79	$26.55	$55.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $56.18 / $56.18	Professional		$56.18	$56.18	$56.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.26 / $22.26 / $22.26	Professional	26	$22.26	$22.26	$22.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.38 / $215.36 / $345.69	Facility		$123.38	$215.36	$345.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $41.36 / $99.42	Professional		$38.29	$41.36	$99.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.85 / $23.60 / $35.54	Professional	26	$21.85	$23.60	$35.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.46 / $17.78 / $68.52	Professional	TC	$16.46	$17.78	$68.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $48.29 / $48.29	Facility		$36.00	$48.29	$48.29
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $15.91 / $15.91 / $40.00	Facility	TC	$15.91	$15.91	$40.00
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $20.07 / $21.52 / $21.52	Professional	26	$20.07	$21.52	$21.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.91 / $42.91 / $42.91	Facility		$42.91	$42.91	$42.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $47.54 / $94.64	Professional		$31.30	$47.54	$94.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.01 / $24.64 / $39.25	Professional	26	$18.01	$24.64	$39.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.30 / $20.99 / $56.64	Professional	TC	$13.30	$20.99	$56.64
United Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $52.70 / $92.27	Professional		$39.04	$52.70	$92.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.05 / $22.32 / $37.40	Professional	26	$17.05	$22.32	$37.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.25 / $29.19 / $62.11	Professional	TC	$20.25	$29.19	$62.11