Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.64 / $9.56 / $12.40	Facility	26	$7.64	$9.56	$12.40
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $14.33 / $20.13 / $63.56	Facility	TC	$14.33	$20.13	$63.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $23.58 / $37.03	Professional		$17.95	$23.58	$37.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.16 / $8.69 / $12.40	Professional	26	$6.16	$8.69	$12.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.06 / $74.06 / $74.06	Professional	50	$74.06	$74.06	$74.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.77 / $14.99 / $24.66	Professional	TC	$11.77	$14.99	$24.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.40 / $13.63 / $16.77	Professional	26	$5.40	$13.63	$16.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $28.18 / $39.74	Professional		$24.84	$28.18	$39.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $11.12 / $14.20	Professional	26	$8.69	$11.12	$14.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.14 / $18.42 / $29.17	Professional	TC	$16.14	$18.42	$29.17
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $12.29 / $12.29 / $13.68	Facility	TC	$12.29	$12.29	$13.68
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $6.71 / $7.25	Professional	26	$6.71	$6.71	$7.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $23.15 / $38.36	Professional		$12.75	$23.15	$38.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.57 / $8.40 / $13.91	Professional	26	$4.57	$8.40	$13.91
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $31.05 / $31.05 / $31.05	Professional	50	$31.05	$31.05	$31.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.17 / $14.75 / $26.23	Professional	TC	$8.17	$14.75	$26.23
United Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $23.17 / $40.42	Professional		$16.93	$23.17	$40.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $8.17 / $12.69	Professional	26	$6.17	$8.17	$12.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.76 / $14.67 / $23.55	Professional	TC	$10.76	$14.67	$23.55