Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.08 / $170.16 / $945.10	Facility		$131.08	$170.16	$945.10
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.23 / $28.78 / $90.37	Facility	26	$26.23	$28.78	$90.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.65 / $160.44 / $223.25	Professional		$118.65	$160.44	$223.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.84 / $26.23 / $35.29	Professional	26	$19.84	$26.23	$35.29
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $54.88 / $75.37 / $94.81	Professional	52	$54.88	$75.37	$94.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $98.75 / $130.58 / $195.92	Professional	TC	$98.75	$130.58	$195.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.78 / $83.78 / $112.85	Professional		$83.78	$83.78	$112.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.85 / $22.40 / $23.41	Professional	26	$19.85	$22.40	$23.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.50 / $266.58 / $387.79	Facility		$141.50	$266.58	$387.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $163.92 / $223.11	Professional		$151.78	$163.92	$223.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.17 / $27.53 / $36.71	Professional	26	$25.17	$27.53	$36.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $118.32 / $139.19 / $186.40	Professional	TC	$118.32	$139.19	$186.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $125.19 / $125.19 / $125.19	Facility		$125.19	$125.19	$125.19
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $21.05 / $29.61 / $29.61	Professional	26	$21.05	$29.61	$29.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.55 / $370.48 / $526.55	Facility		$217.55	$370.48	$526.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.49 / $148.00 / $219.31	Professional		$118.49	$148.00	$219.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.36 / $25.91 / $39.38	Professional	26	$20.36	$25.91	$39.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.65 / $124.58 / $189.27	Professional	TC	$97.65	$124.58	$189.27
United Facility/Professional Professional Modifier Low / Median / High Price $110.36 / $148.47 / $240.66	Professional		$110.36	$148.47	$240.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.82 / $23.88 / $40.95	Professional	26	$18.82	$23.88	$40.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.16 / $126.28 / $224.20	Professional	TC	$93.16	$126.28	$224.20