Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $17.78 / $22.39	Facility	26	$15.85	$17.78	$22.39
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.90 / $38.90 / $125.89	Facility	TC	$30.90	$38.90	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $87.10	Professional		$34.67	$46.77	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.85 / $38.90	Professional	26	$10.96	$15.85	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.90 / $52.48	Professional	TC	$21.88	$30.90	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.88 / $41.69	Professional		$28.84	$33.88	$41.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.23 / $12.30	Professional	26	$8.91	$10.23	$12.30
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $23.44 / $23.44	Professional	TC	$23.44	$23.44	$23.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $70.79	Professional		$46.77	$54.95	$70.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $18.62 / $23.99	Professional	26	$14.79	$18.62	$23.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $37.15 / $44.67	Professional	TC	$31.62	$37.15	$44.67
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $28.84 / $28.84 / $39.81	Facility	TC	$28.84	$28.84	$39.81
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $12.88 / $39.81	Professional	26	$12.59	$12.88	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $91.20	Professional		$30.20	$46.77	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $16.22 / $30.20	Professional	26	$9.33	$16.22	$30.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $31.62 / $60.26	Professional	TC	$19.50	$31.62	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $72.44	Professional		$33.88	$44.67	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.14 / $26.30	Professional	26	$12.02	$15.14	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $29.51 / $45.71	Professional	TC	$21.88	$29.51	$45.71