Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.31 / $9.97 / $13.49	Facility	26	$8.31	$9.97	$13.49
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.78 / $31.92 / $96.67	Facility	TC	$21.78	$31.92	$96.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $31.24 / $49.89	Professional		$23.04	$31.24	$49.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.68 / $9.44 / $12.48	Professional	26	$6.68	$9.44	$12.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.36 / $21.87 / $37.40	Professional	TC	$16.36	$21.87	$37.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $29.95 / $29.95	Professional		$29.95	$29.95	$29.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.85 / $14.85 / $14.85	Professional	26	$14.85	$14.85	$14.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $37.47 / $47.25	Professional		$33.46	$37.47	$47.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.47 / $12.10 / $15.08	Professional	26	$9.47	$12.10	$15.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $27.41 / $34.24	Professional	TC	$23.99	$27.41	$34.24
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $18.55 / $18.55 / $20.37	Facility	TC	$18.55	$18.55	$20.37
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $7.31 / $7.31 / $7.90	Professional	26	$7.31	$7.31	$7.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $28.94 / $50.44	Professional		$17.32	$28.94	$50.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.98 / $8.77 / $15.06	Professional	26	$4.98	$8.77	$15.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.34 / $19.73 / $35.45	Professional	TC	$12.34	$19.73	$35.45
United Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $29.75 / $47.65	Professional		$20.83	$29.75	$47.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.70 / $8.91 / $14.57	Professional	26	$6.70	$8.91	$14.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.84 / $20.43 / $32.40	Professional	TC	$14.84	$20.43	$32.40