Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.75 / $17.80 / $22.78	Facility	26	$13.75	$17.80	$22.78
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.84 / $43.72 / $140.54	Facility	TC	$30.84	$43.72	$140.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.65 / $47.34 / $75.06	Professional		$37.65	$47.34	$75.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $16.04 / $26.83	Professional	26	$11.24	$16.04	$26.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.41 / $31.92 / $54.21	Professional	TC	$26.41	$31.92	$54.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $49.16 / $49.16	Professional		$49.16	$49.16	$49.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.34 / $12.72 / $12.72	Professional	26	$12.34	$12.72	$12.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $57.47 / $79.59	Professional		$50.95	$57.47	$79.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.76 / $20.21 / $31.42	Professional	26	$15.76	$20.21	$31.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.20 / $40.24 / $55.10	Professional	TC	$35.20	$40.24	$55.10
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $26.82 / $26.82 / $29.29	Facility	TC	$26.82	$26.82	$29.29
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $12.20 / $12.20 / $12.87	Professional	26	$12.20	$12.20	$12.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $47.20 / $79.16	Professional		$26.15	$47.20	$79.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $15.96 / $30.31	Professional	26	$8.32	$15.96	$30.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.84 / $32.18 / $53.64	Professional	TC	$17.84	$32.18	$53.64
United Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $46.55 / $74.83	Professional		$33.90	$46.55	$74.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.24 / $15.84 / $26.32	Professional	26	$12.24	$15.84	$26.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.46 / $29.95 / $47.92	Professional	TC	$21.46	$29.95	$47.92