Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.12 / $195.28 / $567.49	Facility		$149.12	$195.28	$567.49
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.64 / $30.69 / $77.22	Facility	26	$28.64	$30.69	$77.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.02 / $149.13 / $224.00	Professional		$120.02	$149.13	$224.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.93 / $29.41 / $39.60	Professional	26	$19.93	$29.41	$39.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.50 / $122.67 / $189.87	Professional	TC	$99.50	$122.67	$189.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $95.46	Professional		$91.54	$91.54	$95.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.26 / $24.84 / $41.64	Professional	26	$18.26	$24.84	$41.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.13 / $230.63 / $359.58	Facility		$137.13	$230.63	$359.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $153.96 / $222.59	Professional		$130.13	$153.96	$222.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.41 / $29.31 / $38.11	Professional	26	$24.41	$29.31	$38.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $108.10 / $124.78 / $178.55	Professional	TC	$108.10	$124.78	$178.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $98.50 / $98.50 / $130.55	Facility		$98.50	$98.50	$130.55
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $22.10 / $23.80 / $23.80	Professional	26	$22.10	$23.80	$23.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.35 / $422.76 / $583.09	Facility		$248.35	$422.76	$583.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.43 / $163.35 / $243.74	Professional		$129.43	$163.35	$243.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.60 / $26.33 / $42.30	Professional	26	$21.60	$26.33	$42.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.22 / $138.90 / $211.54	Professional	TC	$107.22	$138.90	$211.54
United Facility/Professional Professional Modifier Low / Median / High Price $126.70 / $171.01 / $346.94	Professional		$126.70	$171.01	$346.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.13 / $24.90 / $44.24	Professional	26	$19.13	$24.90	$44.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $105.10 / $143.13 / $233.83	Professional	TC	$105.10	$143.13	$233.83