Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $851.14 / $1,905.46	Facility		$229.09	$851.14	$1,905.46
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $95.50 / $194.98	Facility	26	$81.28	$95.50	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $616.60	Professional		$173.78	$269.15	$616.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $77.62 / $181.97	Professional	26	$63.10	$77.62	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $162.18 / $288.40	Professional	TC	$112.20	$162.18	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $229.09	Professional		$134.90	$158.49	$229.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $64.57 / $95.50	Professional	26	$51.29	$64.57	$95.50
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $107.15 / $162.18	Professional	TC	$85.11	$107.15	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,023.29 / $1,584.89	Facility		$524.81	$1,023.29	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $275.42 / $363.08	Professional		$245.47	$275.42	$363.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $100.00 / $128.82	Professional	26	$77.62	$100.00	$128.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $181.97 / $229.09	Professional	TC	$158.49	$181.97	$229.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $457.09 / $457.09	Facility		$39.81	$457.09	$457.09
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $100.00 / $100.00	Professional	26	$39.81	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $457.09	Professional		$173.78	$263.03	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $91.20 / $147.91	Professional	26	$63.10	$91.20	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $169.82 / $302.00	Professional	TC	$120.23	$169.82	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $831.76 / $1,513.56	Facility		$194.98	$831.76	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $389.05	Professional		$173.78	$223.87	$389.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $75.86 / $123.03	Professional	26	$60.26	$75.86	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $147.91 / $263.03	Professional	TC	$109.65	$147.91	$263.03