Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.21 / $243.24 / $1,457.30	Facility		$209.21	$243.24	$1,457.30
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.64 / $49.89 / $160.69	Facility	26	$46.64	$49.89	$160.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.94 / $212.66 / $306.83	Professional		$162.94	$212.66	$306.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.81 / $46.65 / $69.38	Professional	26	$32.81	$46.65	$69.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.26 / $165.55 / $244.90	Professional	TC	$128.26	$165.55	$244.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.47 / $165.47 / $165.47	Professional		$165.47	$165.47	$165.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.57 / $42.57 / $42.57	Professional	26	$42.57	$42.57	$42.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.04 / $346.84 / $564.16	Facility		$215.04	$346.84	$564.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.51 / $215.28 / $309.86	Professional		$207.51	$215.28	$309.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.17 / $47.26 / $54.78	Professional	26	$40.17	$47.26	$54.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $163.38 / $170.75 / $263.17	Professional	TC	$163.38	$170.75	$263.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $173.14 / $174.05 / $174.05	Facility		$173.14	$174.05	$174.05
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $36.84 / $52.61 / $52.61	Professional	26	$36.84	$52.61	$52.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.70 / $499.98 / $675.05	Facility		$293.70	$499.98	$675.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.73 / $208.80 / $311.25	Professional		$164.73	$208.80	$311.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.96 / $43.89 / $69.59	Professional	26	$35.96	$43.89	$69.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.97 / $166.03 / $263.97	Professional	TC	$126.97	$166.03	$263.97
United Facility/Professional Professional Modifier Low / Median / High Price $159.36 / $205.17 / $342.30	Professional		$159.36	$205.17	$342.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.04 / $40.42 / $71.93	Professional	26	$32.04	$40.42	$71.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.68 / $166.74 / $276.92	Professional	TC	$123.68	$166.74	$276.92