Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.11 / $19.30 / $25.38	Facility	26	$15.11	$19.30	$25.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $62.84 / $104.72	Professional		$49.24	$62.84	$104.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $17.59 / $28.33	Professional	26	$12.37	$17.59	$28.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.43 / $45.45 / $81.43	Professional	TC	$36.43	$45.45	$81.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $16.55 / $16.55	Professional	26	$11.07	$16.55	$16.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $78.61 / $97.06	Professional		$70.54	$78.61	$97.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $22.75 / $28.92	Professional	26	$17.78	$22.75	$28.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.42 / $60.33 / $71.51	Professional	TC	$52.42	$60.33	$71.51
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $13.74 / $13.74 / $14.50	Professional	26	$13.74	$13.74	$14.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $58.78 / $105.13	Professional		$36.11	$58.78	$105.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $16.85 / $28.92	Professional	26	$9.36	$16.85	$28.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.74 / $42.72 / $77.88	Professional	TC	$26.74	$42.72	$77.88
United Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $61.89 / $104.46	Professional		$43.44	$61.89	$104.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.73 / $16.92 / $27.18	Professional	26	$12.73	$16.92	$27.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.81 / $43.67 / $67.87	Professional	TC	$30.81	$43.67	$67.87