Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.63 / $138.58 / $446.31	Facility		$134.63	$138.58	$446.31
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.21 / $31.25 / $100.63	Facility	26	$29.21	$31.25	$100.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.79 / $134.63 / $196.78	Professional		$105.79	$134.63	$196.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.50 / $29.22 / $39.31	Professional	26	$20.50	$29.22	$39.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.70 / $106.95 / $156.18	Professional	TC	$84.70	$106.95	$156.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.51 / $24.51 / $25.62	Professional	26	$24.51	$24.51	$25.62
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 $132.87 / $140.72 / $216.59	Professional		$132.87	$140.72	$216.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.09 / $30.13 / $36.27	Professional	26	$25.09	$30.13	$36.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.73 / $110.68 / $185.68	Professional	TC	$102.73	$110.68	$185.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $81.58 / $81.58 / $107.32	Facility		$81.58	$81.58	$107.32
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $22.73 / $32.83 / $32.83	Professional	26	$22.73	$32.83	$32.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.42 / $324.14 / $432.95	Facility		$190.42	$324.14	$432.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.69 / $137.88 / $211.77	Professional		$106.69	$137.88	$211.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.28 / $27.97 / $43.50	Professional	26	$22.28	$27.97	$43.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.85 / $108.92 / $185.66	Professional	TC	$83.85	$108.92	$185.66
United Facility/Professional Professional Modifier Low / Median / High Price $100.58 / $138.82 / $220.19	Professional		$100.58	$138.82	$220.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.21 / $25.26 / $45.52	Professional	26	$20.21	$25.26	$45.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.90 / $108.20 / $179.65	Professional	TC	$77.90	$108.20	$179.65