Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.61 / $499.87 / $1,133.43	Facility		$213.61	$499.87	$1,133.43
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.46 / $48.93 / $98.15	Facility	26	$40.46	$48.93	$98.15
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $175.32 / $271.02 / $732.84	Facility	TC	$175.32	$271.02	$732.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.06 / $221.87 / $334.90	Professional		$175.06	$221.87	$334.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.46 / $41.95 / $68.90	Professional	26	$30.46	$41.95	$68.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.60 / $178.53 / $264.01	Professional	TC	$144.60	$178.53	$264.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $160.55 / $186.20	Professional		$116.00	$160.55	$186.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.17 / $33.95 / $50.44	Professional	26	$24.17	$33.95	$50.44
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 $209.06 / $222.36 / $300.95	Professional		$209.06	$222.36	$300.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.31 / $41.69 / $58.33	Professional	26	$38.31	$41.69	$58.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $170.75 / $180.80 / $242.64	Professional	TC	$170.75	$180.80	$242.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $176.55 / $226.61 / $226.61	Facility		$176.55	$226.61	$226.61
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $40.00 / $139.68 / $144.90	Facility	TC	$40.00	$139.68	$144.90
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $31.65 / $46.28 / $46.28	Professional	26	$31.65	$46.28	$46.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $539.17 / $725.66	Facility		$316.74	$539.17	$725.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $212.14 / $319.64	Professional		$168.57	$212.14	$319.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.86 / $39.28 / $60.61	Professional	26	$30.86	$39.28	$60.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $136.85 / $177.03 / $268.89	Professional	TC	$136.85	$177.03	$268.89
United Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $212.62 / $352.52	Professional		$162.32	$212.62	$352.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.36 / $37.14 / $62.95	Professional	26	$29.36	$37.14	$62.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.88 / $174.50 / $289.98	Professional	TC	$131.88	$174.50	$289.98