Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.03 / $13.83 / $18.48	Facility	26	$11.03	$13.83	$18.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $34.08 / $47.56 / $195.50	Facility	TC	$34.08	$47.56	$195.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $47.49 / $87.95	Professional		$36.76	$47.49	$87.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.98 / $13.27 / $22.09	Professional	26	$8.98	$13.27	$22.09
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.08 / $23.75 / $32.54	Professional	52	$15.08	$23.75	$32.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.87 / $34.22 / $62.89	Professional	TC	$27.87	$34.22	$62.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $43.55 / $43.55	Professional		$30.65	$43.55	$43.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $11.56 / $18.13	Professional	26	$10.11	$11.56	$18.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.78 / $59.81 / $71.17	Professional		$53.78	$59.81	$71.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.07 / $16.61 / $20.42	Professional	26	$13.07	$16.61	$20.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.53 / $44.06 / $56.98	Professional	TC	$39.53	$44.06	$56.98
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $31.09 / $31.09 / $36.61	Facility	TC	$31.09	$31.09	$36.61
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $10.03 / $10.86 / $26.95	Professional	26	$10.03	$10.86	$26.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $43.55 / $79.40	Professional		$27.52	$43.55	$79.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $12.34 / $20.57	Professional	26	$6.84	$12.34	$20.57
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $53.72 / $53.72 / $53.72	Professional	50	$53.72	$53.72	$53.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.68 / $33.04 / $59.45	Professional	TC	$20.68	$33.04	$59.45
United Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $44.39 / $67.29	Professional		$30.04	$44.39	$67.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $12.29 / $18.17	Professional	26	$8.94	$12.29	$18.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.43 / $32.60 / $49.26	Professional	TC	$20.43	$32.60	$49.26