Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.78 / $19.95 / $25.12	Facility	26	$17.78	$19.95	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $141.25	Professional		$56.23	$83.18	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $20.42 / $54.95	Professional	26	$12.30	$20.42	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $56.23 / $91.20	Professional	TC	$38.90	$56.23	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $54.95 / $85.11	Professional		$45.71	$54.95	$85.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $12.88 / $19.50	Professional	26	$11.48	$12.88	$19.50
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $46.77 / $54.95	Professional	TC	$39.81	$46.77	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $100.00	Professional		$72.44	$85.11	$100.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $19.95 / $26.30	Professional	26	$16.60	$19.95	$26.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $66.07 / $74.13	Professional	TC	$56.23	$66.07	$74.13
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $14.79 / $39.81	Professional	26	$14.13	$14.79	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $64.57 / $120.23	Professional		$43.65	$64.57	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $16.98 / $30.20	Professional	26	$10.72	$16.98	$30.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $50.12 / $95.50	Professional	TC	$32.36	$50.12	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $66.07 / $102.33	Professional		$47.86	$66.07	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.60 / $25.12	Professional	26	$12.88	$16.60	$25.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $48.98 / $77.62	Professional	TC	$34.67	$48.98	$77.62