Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.64 / $318.88 / $667.26	Facility		$97.64	$318.88	$667.26
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.85 / $30.49 / $62.76	Facility	26	$25.85	$30.49	$62.76
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $108.70 / $171.11 / $360.62	Facility	TC	$108.70	$171.11	$360.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.55 / $134.56 / $214.41	Professional		$93.55	$134.56	$214.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.87 / $27.72 / $47.16	Professional	26	$19.87	$27.72	$47.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.62 / $110.70 / $168.67	Professional	TC	$91.62	$110.70	$168.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.78 / $108.37 / $118.20	Professional		$102.78	$108.37	$118.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.31 / $19.50 / $32.57	Professional	26	$15.31	$19.50	$32.57
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 $132.61 / $141.50 / $182.79	Professional		$132.61	$141.50	$182.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.17 / $26.63 / $37.27	Professional	26	$25.17	$26.63	$37.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $106.71 / $114.95 / $145.81	Professional	TC	$106.71	$114.95	$145.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $107.02 / $107.02 / $108.79	Facility		$107.02	$107.02	$108.79
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $40.00 / $89.25 / $91.39	Facility	TC	$40.00	$89.25	$91.39
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $20.14 / $29.85 / $29.85	Professional	26	$20.14	$29.85	$29.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.41 / $334.34 / $447.49	Facility		$196.41	$334.34	$447.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.91 / $136.69 / $196.26	Professional		$107.91	$136.69	$196.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.91 / $25.39 / $38.44	Professional	26	$19.91	$25.39	$38.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.44 / $112.69 / $170.18	Professional	TC	$87.44	$112.69	$170.18
United Facility/Professional Professional Modifier Low / Median / High Price $100.47 / $136.57 / $224.33	Professional		$100.47	$136.57	$224.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.87 / $23.83 / $39.97	Professional	26	$18.87	$23.83	$39.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.34 / $111.68 / $195.55	Professional	TC	$80.34	$111.68	$195.55