Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $11.22 / $15.14	Facility	26	$10.00	$11.22	$15.14
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.44 / $32.36 / $104.71	Facility	TC	$23.44	$32.36	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $33.88 / $75.86	Professional		$17.38	$33.88	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $22.39	Professional	26	$7.08	$10.00	$22.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $22.91 / $40.74	Professional	TC	$15.85	$22.91	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $37.15	Professional		$21.88	$25.70	$37.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $7.08 / $14.45	Professional	26	$6.76	$7.08	$14.45
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $24.55 / $25.70	Professional	TC	$24.55	$24.55	$25.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $46.77	Professional		$33.88	$39.81	$46.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $11.75 / $15.14	Professional	26	$10.00	$11.75	$15.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $28.84 / $31.62	Professional	TC	$24.55	$28.84	$31.62
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $22.39 / $23.44 / $39.81	Facility	TC	$22.39	$23.44	$39.81
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $8.51 / $9.12	Professional	26	$6.17	$8.51	$9.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $57.54	Professional		$20.89	$30.90	$57.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $9.77 / $17.38	Professional	26	$6.46	$9.77	$17.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $22.39 / $41.69	Professional	TC	$14.13	$22.39	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $31.62 / $47.86	Professional		$22.39	$31.62	$47.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.77 / $14.79	Professional	26	$7.59	$9.77	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $21.38 / $33.88	Professional	TC	$15.14	$21.38	$33.88