Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $30.20 / $38.90	Facility	26	$26.92	$30.20	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $67.61 / $162.18	Professional		$32.36	$67.61	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $43.65 / $107.15	Professional	26	$19.05	$43.65	$107.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.48 / $70.79 / $263.03	Professional	50	$35.48	$70.79	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $28.18 / $53.70	Professional	TC	$8.91	$28.18	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $70.79	Professional		$36.31	$51.29	$70.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $27.54 / $39.81	Professional	26	$24.55	$27.54	$39.81
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $79.43 / $79.43	Professional	50	$79.43	$79.43	$79.43
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $24.55 / $42.66	Professional	TC	$21.38	$24.55	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $93.33	Professional		$58.88	$79.43	$93.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $42.66 / $50.12	Professional	26	$33.11	$42.66	$50.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $37.15 / $39.81	Professional	TC	$17.38	$37.15	$39.81
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $24.55 / $31.62	Professional	26	$24.55	$24.55	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $52.48 / $97.72	Professional		$30.90	$52.48	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $30.90 / $50.12	Professional	26	$18.62	$30.90	$50.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $24.55 / $53.70	Professional	TC	$9.77	$24.55	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $52.48 / $70.79	Professional		$27.54	$52.48	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $25.12 / $37.15	Professional	26	$18.62	$25.12	$37.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.13 / $28.18 / $39.81	Professional	TC	$8.13	$28.18	$39.81