Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.63 / $8.27 / $10.74	Facility	26	$6.63	$8.27	$10.74
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.53 / $28.70 / $101.79	Facility	TC	$22.53	$28.70	$101.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $30.56 / $55.25	Professional		$22.84	$30.56	$55.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.32 / $7.53 / $12.33	Professional	26	$5.32	$7.53	$12.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.75 / $23.58 / $39.15	Professional	TC	$17.75	$23.58	$39.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $41.72 / $41.72	Professional		$41.72	$41.72	$41.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.95 / $6.70 / $14.49	Professional	26	$5.95	$6.70	$14.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.38 / $36.97 / $48.11	Professional		$33.38	$36.97	$48.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.52 / $9.61 / $12.00	Professional	26	$7.52	$9.61	$12.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.86 / $28.70 / $43.09	Professional	TC	$25.86	$28.70	$43.09
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $19.41 / $19.41 / $21.33	Facility	TC	$19.41	$19.41	$21.33
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $5.80 / $6.26 / $17.25	Professional	26	$5.80	$6.26	$17.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $27.72 / $50.19	Professional		$16.86	$27.72	$50.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.96 / $7.14 / $11.95	Professional	26	$3.96	$7.14	$11.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.91 / $21.38 / $38.24	Professional	TC	$12.91	$21.38	$38.24
United Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $28.51 / $44.67	Professional		$19.36	$28.51	$44.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.34 / $7.07 / $10.69	Professional	26	$5.34	$7.07	$10.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.33 / $21.86 / $35.25	Professional	TC	$15.33	$21.86	$35.25