Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $24.55 / $33.88	Facility	26	$21.38	$24.55	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $190.55	Professional		$64.57	$100.00	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $23.44 / $54.95	Professional	26	$15.85	$23.44	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $74.13 / $117.49	Professional	TC	$51.29	$74.13	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $15.14 / $31.62	Professional	26	$15.14	$15.14	$31.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $138.04	Professional		$102.33	$120.23	$138.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $25.70 / $33.11	Professional	26	$21.88	$25.70	$33.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $93.33 / $104.71	Professional	TC	$79.43	$93.33	$104.71
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $19.50 / $39.81	Professional	26	$19.05	$19.50	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $169.82	Professional		$57.54	$89.13	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $21.88 / $38.90	Professional	26	$14.13	$21.88	$38.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $70.79 / $134.90	Professional	TC	$43.65	$70.79	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $141.25	Professional		$64.57	$91.20	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $21.38 / $32.36	Professional	26	$16.22	$21.38	$32.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $69.18 / $104.71	Professional	TC	$47.86	$69.18	$104.71