Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $18.20 / $23.99	Facility	26	$15.85	$18.20	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $112.20	Professional		$40.74	$54.95	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.13 / $29.51	Professional	26	$10.96	$14.13	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $38.02 / $54.95	Professional	TC	$28.84	$38.02	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $11.22 / $11.48	Professional	26	$10.96	$11.22	$11.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $83.18	Professional		$54.95	$64.57	$83.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $19.05 / $24.55	Professional	26	$15.49	$19.05	$24.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $46.77 / $57.54	Professional	TC	$39.81	$46.77	$57.54
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $14.45 / $39.81	Professional	26	$13.18	$14.45	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $53.70 / $104.71	Professional		$35.48	$53.70	$104.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.85 / $28.18	Professional	26	$10.00	$15.85	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $38.02 / $74.13	Professional	TC	$25.12	$38.02	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $87.10	Professional		$38.02	$53.70	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $15.14 / $23.99	Professional	26	$10.47	$15.14	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $38.02 / $60.26	Professional	TC	$26.30	$38.02	$60.26