Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $30.90 / $44.67	Facility	26	$28.18	$30.90	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $229.09	Professional		$75.86	$112.20	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $32.36 / $74.13	Professional	26	$20.89	$32.36	$74.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $77.62 / $138.04	Professional	TC	$54.95	$77.62	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $72.44 / $117.49	Professional		$69.18	$72.44	$117.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $20.89 / $28.18	Professional	26	$16.98	$20.89	$28.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $64.57 / $72.44	Professional	TC	$57.54	$64.57	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $151.36	Professional		$109.65	$128.82	$151.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $33.88 / $46.77	Professional	26	$28.84	$33.88	$46.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $95.50 / $107.15	Professional	TC	$81.28	$95.50	$107.15
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $27.54 / $27.54	Professional	26	$23.99	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $186.21	Professional		$67.61	$102.33	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $28.18 / $52.48	Professional	26	$18.20	$28.18	$52.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $74.13 / $138.04	Professional	TC	$48.98	$74.13	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $162.18	Professional		$77.62	$109.65	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $28.18 / $43.65	Professional	26	$21.88	$28.18	$43.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $81.28 / $120.23	Professional	TC	$56.23	$81.28	$120.23