Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $18.20 / $22.91	Facility	26	$15.85	$18.20	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $45.71 / $87.10	Professional		$28.84	$45.71	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $15.85 / $39.81	Professional	26	$10.23	$15.85	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $28.84 / $52.48	Professional	TC	$19.50	$28.84	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $36.31	Professional		$28.18	$32.36	$36.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.59 / $23.99	Professional	26	$10.23	$12.59	$23.99
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $19.95 / $19.95	Professional	TC	$19.95	$19.95	$19.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $64.57	Professional		$45.71	$53.70	$64.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $17.78 / $22.91	Professional	26	$15.14	$17.78	$22.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $36.31 / $42.66	Professional	TC	$30.90	$36.31	$42.66
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $16.22 / $16.22	Professional	26	$13.18	$16.22	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $40.74 / $81.28	Professional		$27.54	$40.74	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $15.14 / $27.54	Professional	26	$9.12	$15.14	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $27.54 / $53.70	Professional	TC	$18.20	$27.54	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $66.07	Professional		$30.90	$43.65	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.79 / $22.91	Professional	26	$10.96	$14.79	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $27.54 / $41.69	Professional	TC	$19.95	$27.54	$41.69