Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $15.85 / $21.38	Facility	26	$14.13	$15.85	$21.38
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.51 / $44.67 / $158.49	Facility	TC	$29.51	$44.67	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $40.74 / $66.07	Professional		$30.90	$40.74	$66.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $13.80 / $41.69	Professional	26	$10.00	$13.80	$41.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.18 / $46.77	Professional	TC	$20.89	$28.18	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $41.69	Professional		$23.99	$32.36	$41.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $12.02 / $17.78	Professional	26	$9.55	$12.02	$17.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $21.88 / $21.88	Professional	TC	$21.88	$21.88	$21.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $61.66	Professional		$44.67	$52.48	$61.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $16.98 / $21.88	Professional	26	$14.13	$16.98	$21.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $36.31 / $40.74	Professional	TC	$30.90	$36.31	$40.74
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $27.54 / $28.18 / $28.18	Facility	TC	$27.54	$28.18	$28.18
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $12.30 / $12.30	Professional	26	$12.02	$12.30	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $39.81 / $74.13	Professional		$26.92	$39.81	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.13 / $25.70	Professional	26	$8.91	$14.13	$25.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $27.54 / $51.29	Professional	TC	$17.78	$27.54	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $63.10	Professional		$29.51	$41.69	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $13.80 / $20.89	Professional	26	$10.72	$13.80	$20.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.92 / $42.66	Professional	TC	$19.05	$26.92	$42.66