Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.11 / $17.96 / $24.71	Facility	26	$15.11	$17.96	$24.71
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.36 / $135.50 / $323.49	Facility	TC	$30.36	$135.50	$323.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $47.94 / $76.59	Professional		$34.70	$47.94	$76.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $17.96 / $24.14	Professional	26	$12.37	$17.96	$24.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.87 / $30.11 / $53.64	Professional	TC	$21.87	$30.11	$53.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.13 / $16.13 / $16.13	Professional	26	$16.13	$16.13	$16.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.15 / $59.04 / $71.75	Professional		$52.15	$59.04	$71.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.96 / $21.78 / $28.72	Professional	26	$16.96	$21.78	$28.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.09 / $39.07 / $45.62	Professional	TC	$34.09	$39.07	$45.62
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $26.54 / $26.54 / $28.97	Facility	TC	$26.54	$26.54	$28.97
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $13.42 / $13.42 / $14.50	Professional	26	$13.42	$13.42	$14.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $43.46 / $78.77	Professional		$26.80	$43.46	$78.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.15 / $16.52 / $28.79	Professional	26	$9.15	$16.52	$28.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.64 / $28.20 / $51.67	Professional	TC	$17.64	$28.20	$51.67
United Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $47.42 / $78.06	Professional		$33.27	$47.42	$78.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.86 / $17.17 / $29.47	Professional	26	$12.86	$17.17	$29.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.78 / $28.12 / $44.00	Professional	TC	$19.78	$28.12	$44.00