Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.73 / $76.18 / $86.01	Facility		$73.73	$76.18	$86.01
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.41 / $22.91 / $25.87	Facility	26	$21.41	$22.91	$25.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $83.09 / $151.33	Professional		$50.70	$83.09	$151.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.83 / $21.41 / $28.82	Professional	26	$14.83	$21.41	$28.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.11 / $60.14 / $134.71	Professional	TC	$38.11	$60.14	$134.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.10 / $60.10 / $60.10	Professional		$60.10	$60.10	$60.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.01 / $309.35 / $576.98	Facility		$168.01	$309.35	$576.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $76.52 / $196.70	Professional		$67.06	$76.52	$196.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.07 / $21.58 / $31.92	Professional	26	$19.07	$21.58	$31.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.00 / $55.37 / $168.97	Professional	TC	$48.00	$55.37	$168.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $65.22 / $155.57 / $155.57	Facility		$65.22	$155.57	$155.57
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $17.77 / $25.20 / $25.20	Professional	26	$17.77	$25.20	$25.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.84 / $77.30 / $169.99	Professional		$57.84	$77.30	$169.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.77 / $21.17 / $32.33	Professional	26	$16.77	$21.17	$32.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.07 / $55.26 / $146.43	Professional	TC	$41.07	$55.26	$146.43
United Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $88.08 / $160.44	Professional		$56.32	$88.08	$160.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.34 / $19.96 / $36.40	Professional	26	$15.34	$19.96	$36.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.41 / $64.53 / $133.91	Professional	TC	$41.41	$64.53	$133.91