Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.76 / $18.55 / $24.80	Facility	26	$14.76	$18.55	$24.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $67.39 / $105.62	Professional		$52.00	$67.39	$105.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.09 / $17.80 / $29.57	Professional	26	$12.09	$17.80	$29.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.90 / $49.34 / $80.86	Professional	TC	$39.90	$49.34	$80.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $56.49 / $56.49	Professional		$56.49	$56.49	$56.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.76 / $13.76 / $33.54	Professional	26	$13.76	$13.76	$33.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.77 / $77.64 / $101.89	Professional		$69.77	$77.64	$101.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.02 / $21.78 / $29.56	Professional	26	$17.02	$21.78	$29.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.75 / $60.33 / $85.43	Professional	TC	$52.75	$60.33	$85.43
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $13.43 / $14.16 / $22.29	Professional	26	$13.43	$14.16	$22.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $64.43 / $106.29	Professional		$35.70	$64.43	$106.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.15 / $16.82 / $29.09	Professional	26	$9.15	$16.82	$29.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.55 / $47.91 / $79.55	Professional	TC	$26.55	$47.91	$79.55
United Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $64.76 / $108.14	Professional		$45.77	$64.76	$108.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.16 / $16.45 / $29.68	Professional	26	$13.16	$16.45	$29.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.61 / $46.09 / $72.33	Professional	TC	$32.61	$46.09	$72.33