Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $38.02 / $72.44	Facility	26	$33.88	$38.02	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $269.15	Professional		$48.98	$91.20	$269.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $39.81 / $107.15	Professional	26	$22.91	$39.81	$107.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.26 / $60.26 / $138.04	Professional	50	$60.26	$60.26	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $30.20 / $89.13	Professional	TC	$10.00	$30.20	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $42.66 / $75.86	Professional		$35.48	$42.66	$75.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $42.66 / $61.66	Professional	26	$39.81	$42.66	$61.66
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $7.76 / $8.13 / $8.91	Professional	TC	$7.76	$8.13	$8.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $72.44 / $147.91	Professional		$58.88	$72.44	$147.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $56.23 / $66.07	Professional	26	$47.86	$56.23	$66.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $13.18 / $100.00	Professional	TC	$11.22	$13.18	$100.00
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $42.66 / $47.86	Professional	26	$31.62	$42.66	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $77.62 / $169.82	Professional		$38.02	$77.62	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $39.81 / $66.07	Professional	26	$23.44	$39.81	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $30.90 / $125.89	Professional	TC	$7.94	$30.90	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $158.49	Professional		$63.10	$87.10	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $32.36 / $48.98	Professional	26	$23.99	$32.36	$48.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $51.29 / $104.71	Professional	TC	$35.48	$51.29	$104.71