Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.64 / $19.95 / $25.38	Facility	26	$15.64	$19.95	$25.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $73.20 / $127.18	Professional		$56.01	$73.20	$127.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.61 / $18.17 / $29.76	Professional	26	$12.61	$18.17	$29.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.39 / $54.06 / $95.92	Professional	TC	$42.39	$54.06	$95.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $45.53 / $45.53	Professional		$45.53	$45.53	$45.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $15.84 / $16.55	Professional	26	$14.08	$15.84	$16.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.87 / $88.52 / $107.35	Professional		$79.87	$88.52	$107.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $22.75 / $28.92	Professional	26	$17.78	$22.75	$28.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.18 / $69.75 / $81.62	Professional	TC	$60.18	$69.75	$81.62
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $13.74 / $13.74 / $14.82	Professional	26	$13.74	$13.74	$14.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.84 / $66.56 / $115.46	Professional		$40.84	$66.56	$115.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $16.85 / $28.92	Professional	26	$9.36	$16.85	$28.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.48 / $50.28 / $92.39	Professional	TC	$31.48	$50.28	$92.39
United Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $68.56 / $108.74	Professional		$49.13	$68.56	$108.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.92 / $26.78	Professional	26	$12.88	$16.92	$26.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.64 / $50.51 / $79.01	Professional	TC	$36.64	$50.51	$79.01