Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.38 / $14.28 / $16.47	Facility	26	$11.38	$14.28	$16.47
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.51 / $56.00 / $360.62	Facility	TC	$25.51	$56.00	$360.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $38.46 / $65.73	Professional		$29.76	$38.46	$65.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $12.95 / $22.79	Professional	26	$9.27	$12.95	$22.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $25.61 / $44.93	Professional	TC	$19.89	$25.61	$44.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $27.69 / $27.69	Professional		$27.69	$27.69	$27.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.64 / $10.98 / $20.46	Professional	26	$8.64	$10.98	$20.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $47.15 / $58.03	Professional		$41.86	$47.15	$58.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.64 / $16.22 / $20.72	Professional	26	$12.64	$16.22	$20.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.30 / $33.08 / $38.65	Professional	TC	$28.30	$33.08	$38.65
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $22.26 / $22.26 / $24.19	Facility	TC	$22.26	$22.26	$24.19
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $10.07 / $10.55 / $22.16	Professional	26	$10.07	$10.55	$22.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $35.10 / $62.55	Professional		$21.67	$35.10	$62.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.86 / $12.07 / $20.77	Professional	26	$6.86	$12.07	$20.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.80 / $23.66 / $43.27	Professional	TC	$14.80	$23.66	$43.27
United Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $37.77 / $62.12	Professional		$26.65	$37.77	$62.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.22 / $12.54 / $21.28	Professional	26	$9.22	$12.54	$21.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.36 / $23.92 / $37.43	Professional	TC	$17.36	$23.92	$37.43