Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.07 / $47.54 / $60.67	Facility	26	$38.07	$47.54	$60.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.22 / $96.32 / $146.90	Professional		$70.22	$96.32	$146.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.87 / $42.75 / $60.44	Professional	26	$30.87	$42.75	$60.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.35 / $53.10 / $85.82	Professional	TC	$39.35	$53.10	$85.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.88 / $114.03 / $126.48	Professional		$64.88	$114.03	$126.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.81 / $39.59 / $59.47	Professional	26	$33.81	$39.59	$59.47
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $57.09 / $57.09 / $57.09	Professional	TC	$57.09	$57.09	$57.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.94 / $115.00 / $161.31	Professional		$104.94	$115.00	$161.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.45 / $54.62 / $72.26	Professional	26	$43.45	$54.62	$72.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.82 / $64.06 / $90.48	Professional	TC	$55.82	$64.06	$90.48
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $32.96 / $37.52 / $63.63	Professional	26	$32.96	$37.52	$63.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.76 / $87.89 / $155.30	Professional		$50.76	$87.89	$155.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.48 / $40.24 / $69.55	Professional	26	$22.48	$40.24	$69.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.28 / $48.65 / $90.50	Professional	TC	$28.28	$48.65	$90.50
United Facility/Professional Professional Modifier Low / Median / High Price $65.30 / $88.82 / $166.36	Professional		$65.30	$88.82	$166.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.41 / $39.34 / $64.72	Professional	26	$27.41	$39.34	$64.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.15 / $49.08 / $83.52	Professional	TC	$36.15	$49.08	$83.52