Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.40 / $15.27 / $21.89	Facility	26	$13.40	$15.27	$21.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.94 / $59.58 / $102.70	Professional		$42.94	$59.58	$102.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.27 / $21.34	Professional	26	$10.96	$15.27	$21.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.53 / $44.33 / $82.01	Professional	TC	$31.53	$44.33	$82.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.09 / $14.09 / $30.48	Professional	26	$14.09	$14.09	$30.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $75.55 / $89.90	Professional		$68.09	$75.55	$89.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.36 / $19.69 / $25.21	Professional	26	$15.36	$19.69	$25.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.11 / $57.19 / $66.47	Professional	TC	$51.11	$57.19	$66.47
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $12.21 / $12.21 / $13.16	Professional	26	$12.21	$12.21	$13.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $56.75 / $95.73	Professional		$35.25	$56.75	$95.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $14.68 / $25.74	Professional	26	$8.31	$14.68	$25.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.80 / $43.02 / $74.66	Professional	TC	$26.80	$43.02	$74.66
United Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $55.26 / $90.33	Professional		$41.00	$55.26	$90.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.26 / $14.34 / $23.87	Professional	26	$11.26	$14.34	$23.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.05 / $41.41 / $64.39	Professional	TC	$30.05	$41.41	$64.39