Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.56 / $694.52 / $1,859.89	Facility		$248.56	$694.52	$1,859.89
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.00 / $95.83 / $193.71	Facility	26	$83.00	$95.83	$193.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.28 / $239.34 / $341.81	Professional		$180.28	$239.34	$341.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.44 / $83.00 / $124.98	Professional	26	$63.44	$83.00	$124.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $116.63 / $150.65 / $227.96	Professional	TC	$116.63	$150.65	$227.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.12 / $197.13 / $257.13	Professional		$126.12	$197.13	$257.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.78 / $70.90 / $104.48	Professional	26	$54.78	$70.90	$104.48
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $86.48 / $86.48 / $86.48	Professional	TC	$86.48	$86.48	$86.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.84 / $1,024.50 / $1,610.02	Facility		$524.84	$1,024.50	$1,610.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.27 / $273.52 / $387.15	Professional		$240.27	$273.52	$387.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.58 / $99.74 / $130.11	Professional	26	$77.58	$99.74	$130.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $159.03 / $177.52 / $276.83	Professional	TC	$159.03	$177.52	$276.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $189.94 / $452.23 / $452.23	Facility		$189.94	$452.23	$452.23
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $66.70 / $98.93 / $98.93	Professional	26	$66.70	$98.93	$98.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.50 / $264.50 / $410.35	Professional		$182.50	$264.50	$410.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.48 / $93.07 / $146.38	Professional	26	$66.48	$93.07	$146.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $124.32 / $167.83 / $276.55	Professional	TC	$124.32	$167.83	$276.55
United Facility/Professional Professional Modifier Low / Median / High Price $175.54 / $241.40 / $386.78	Professional		$175.54	$241.40	$386.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.23 / $81.29 / $142.76	Professional	26	$62.23	$81.29	$142.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $113.23 / $157.52 / $268.67	Professional	TC	$113.23	$157.52	$268.67