Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.63 / $35.95 / $46.48	Facility	26	$28.63	$35.95	$46.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.82 / $88.15 / $116.90	Professional		$48.82	$88.15	$116.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.98 / $32.31 / $44.89	Professional	26	$22.98	$32.31	$44.89
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.73 / $43.58 / $47.64	Professional	52	$22.73	$43.58	$47.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.08 / $55.18 / $68.54	Professional	TC	$26.08	$55.18	$68.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $54.15 / $54.15	Professional		$54.15	$54.15	$54.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.98 / $29.84 / $61.92	Professional	26	$24.98	$29.84	$61.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.94 / $76.73 / $158.08	Professional		$63.94	$76.73	$158.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.26 / $34.97 / $49.68	Professional	26	$30.26	$34.97	$49.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.66 / $37.83 / $109.43	Professional	TC	$30.66	$37.83	$109.43
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $24.80 / $28.19 / $46.20	Professional	26	$24.80	$28.19	$46.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $65.25 / $139.68	Professional		$34.57	$65.25	$139.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.93 / $28.29 / $50.30	Professional	26	$16.93	$28.29	$50.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.64 / $34.84 / $94.00	Professional	TC	$17.64	$34.84	$94.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.30 / $79.53 / $148.47	Professional		$62.30	$79.53	$148.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.72 / $29.59 / $46.01	Professional	26	$20.72	$29.59	$46.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.17 / $49.47 / $82.11	Professional	TC	$38.17	$49.47	$82.11