Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.41 / $16.43 / $23.56	Facility	26	$14.41	$16.43	$23.56
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $38.92 / $57.97 / $175.91	Facility	TC	$38.92	$57.97	$175.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $55.86 / $91.23	Professional		$42.95	$55.86	$91.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.80 / $16.43 / $27.85	Professional	26	$11.80	$16.43	$27.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.75 / $39.09 / $69.26	Professional	TC	$30.75	$39.09	$69.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.02 / $47.35 / $47.35	Professional		$35.02	$47.35	$47.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.12 / $14.72 / $32.04	Professional	26	$13.12	$14.72	$32.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $68.76 / $83.22	Professional		$61.44	$68.76	$83.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.52 / $21.20 / $27.07	Professional	26	$16.52	$21.20	$27.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.70 / $50.88 / $59.51	Professional	TC	$43.70	$50.88	$59.51
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $34.22 / $34.22 / $38.53	Facility	TC	$34.22	$34.22	$38.53
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $12.80 / $12.80 / $13.83	Professional	26	$12.80	$12.80	$13.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.49 / $51.20 / $90.75	Professional		$31.49	$51.20	$90.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.72 / $15.74 / $27.05	Professional	26	$8.72	$15.74	$27.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.76 / $36.36 / $66.15	Professional	TC	$22.76	$36.36	$66.15
United Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $50.78 / $90.22	Professional		$36.02	$50.78	$90.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.05 / $15.21 / $25.02	Professional	26	$12.05	$15.21	$25.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.50 / $36.53 / $57.14	Professional	TC	$26.50	$36.53	$57.14