Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.08 / $15.27 / $21.89	Facility	26	$13.08	$15.27	$21.89
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.85 / $40.57 / $128.09	Facility	TC	$28.85	$40.57	$128.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $44.13 / $70.51	Professional		$32.40	$44.13	$70.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.68 / $15.27 / $20.35	Professional	26	$10.68	$15.27	$20.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.26 / $28.98 / $50.15	Professional	TC	$21.26	$28.98	$50.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $38.82 / $38.82	Professional		$38.82	$38.82	$38.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.29 / $14.29 / $14.29	Professional	26	$14.29	$14.29	$14.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $54.57 / $66.31	Professional		$48.31	$54.57	$66.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.36 / $19.69 / $25.01	Professional	26	$15.36	$19.69	$25.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.26 / $37.67 / $44.35	Professional	TC	$32.26	$37.67	$44.35
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $24.83 / $24.83 / $27.06	Facility	TC	$24.83	$24.83	$27.06
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $11.89 / $11.89 / $12.53	Professional	26	$11.89	$11.89	$12.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $40.26 / $73.11	Professional		$24.61	$40.26	$73.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.10 / $14.56 / $25.06	Professional	26	$8.10	$14.56	$25.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.51 / $26.38 / $49.41	Professional	TC	$16.51	$26.38	$49.41
United Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $41.86 / $66.98	Professional		$30.60	$41.86	$66.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.13 / $14.87 / $25.10	Professional	26	$11.13	$14.87	$25.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.71 / $27.79 / $42.36	Professional	TC	$19.71	$27.79	$42.36