Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.27 / $445.77 / $951.60	Facility		$212.27	$445.77	$951.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $49.00 / $110.95	Facility	26	$45.71	$49.00	$110.95
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $234.59 / $293.24 / $769.36	Facility	TC	$234.59	$293.24	$769.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.83 / $280.30 / $409.28	Professional		$199.83	$280.30	$409.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.05 / $46.46 / $61.64	Professional	26	$30.05	$46.46	$61.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.86 / $234.59 / $345.46	Professional	TC	$162.86	$234.59	$345.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.46 / $216.52 / $276.98	Professional		$152.46	$216.52	$276.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.74 / $36.70 / $57.77	Professional	26	$33.74	$36.70	$57.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.92 / $440.25 / $621.14	Facility		$230.92	$440.25	$621.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.13 / $285.06 / $368.77	Professional		$241.13	$285.06	$368.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.74 / $47.69 / $62.05	Professional	26	$39.74	$47.69	$62.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $202.04 / $237.69 / $303.06	Professional	TC	$202.04	$237.69	$303.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $197.93 / $197.93 / $217.44	Facility		$197.93	$197.93	$217.44
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $40.00 / $182.78 / $191.39	Facility	TC	$40.00	$182.78	$191.39
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $36.27 / $52.53 / $52.53	Professional	26	$36.27	$52.53	$52.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.82 / $670.00 / $962.54	Facility		$423.82	$670.00	$962.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.43 / $261.18 / $410.33	Professional		$215.43	$261.18	$410.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.76 / $42.46 / $65.95	Professional	26	$33.76	$42.46	$65.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $179.07 / $223.51 / $360.63	Professional	TC	$179.07	$223.51	$360.63
United Facility/Professional Professional Modifier Low / Median / High Price $208.94 / $271.20 / $451.08	Professional		$208.94	$271.20	$451.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.30 / $40.06 / $70.65	Professional	26	$29.30	$40.06	$70.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $178.06 / $240.57 / $393.12	Professional	TC	$178.06	$240.57	$393.12