Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.16 / $62.16 / $62.16	Facility		$62.16	$62.16	$62.16
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.17 / $22.17 / $22.17	Facility	26	$22.17	$22.17	$22.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $66.20 / $125.05	Professional		$40.04	$66.20	$125.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.72 / $25.17 / $91.84	Professional	26	$13.72	$25.17	$91.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.32 / $42.74 / $90.98	Professional	TC	$26.32	$42.74	$90.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $130.00 / $130.29	Professional		$130.00	$130.00	$130.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.25 / $22.73 / $36.29	Professional	26	$20.25	$22.73	$36.29
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $41.35 / $41.35 / $41.35	Professional	TC	$41.35	$41.35	$41.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $81.51 / $100.15	Professional		$77.78	$81.51	$100.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.41 / $26.58 / $54.97	Professional	26	$20.41	$26.58	$54.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.60 / $54.95 / $60.23	Professional	TC	$30.60	$54.95	$60.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $61.12 / $61.12	Facility		$22.04	$61.12	$61.12
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $19.77 / $19.77 / $19.77	Professional	26	$19.77	$19.77	$19.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $40.44 / $124.93	Professional		$30.80	$40.44	$124.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $19.55 / $43.97	Professional	26	$10.11	$19.55	$43.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $26.38 / $77.36	Professional	TC	$18.78	$26.38	$77.36
United Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $65.87 / $114.10	Professional		$37.90	$65.87	$114.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.61 / $23.46 / $43.45	Professional	26	$13.61	$23.46	$43.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.41 / $43.67 / $70.65	Professional	TC	$21.41	$43.67	$70.65