Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.08 / $15.78 / $21.39	Facility	26	$13.08	$15.78	$21.39
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.61 / $46.34 / $360.62	Facility	TC	$29.61	$46.34	$360.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $44.51 / $71.67	Professional		$32.35	$44.51	$71.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.68 / $14.90 / $19.78	Professional	26	$10.68	$14.90	$19.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.56 / $29.73 / $51.90	Professional	TC	$21.56	$29.73	$51.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.90 / $11.90 / $11.90	Professional	26	$11.90	$11.90	$11.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $55.30 / $67.09	Professional		$49.06	$55.30	$67.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.98 / $19.23 / $24.62	Professional	26	$14.98	$19.23	$24.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.00 / $38.47 / $44.98	Professional	TC	$33.00	$38.47	$44.98
Christus Facility/Professional Facility Modifier TC Low / Median / High Price $25.68 / $25.68 / $28.34	Facility	TC	$25.68	$25.68	$28.34
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $11.60 / $11.60 / $12.22	Professional	26	$11.60	$11.60	$12.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $40.88 / $73.15	Professional		$24.99	$40.88	$73.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.91 / $14.28 / $24.63	Professional	26	$7.91	$14.28	$24.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.07 / $27.29 / $50.96	Professional	TC	$17.07	$27.29	$50.96
United Facility/Professional Professional Modifier Low / Median / High Price $30.06 / $42.51 / $68.81	Professional		$30.06	$42.51	$68.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.82 / $14.37 / $23.06	Professional	26	$10.82	$14.37	$23.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.14 / $28.51 / $43.92	Professional	TC	$20.14	$28.51	$43.92