Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.91 / $20.91 / $20.91	Facility	26	$20.91	$20.91	$20.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $100.16 / $115.49	Professional		$61.55	$100.16	$115.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.87 / $24.27 / $29.12	Professional	26	$12.87	$24.27	$29.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.69 / $75.89 / $86.37	Professional	TC	$48.69	$75.89	$86.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.35 / $21.35 / $21.35	Professional	26	$21.35	$21.35	$21.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.65 / $99.86 / $148.16	Professional		$76.65	$99.86	$148.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.56 / $24.85 / $41.57	Professional	26	$22.56	$24.85	$41.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.21 / $75.95 / $106.59	Professional	TC	$56.21	$75.95	$106.59
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $17.80 / $17.80 / $17.80	Professional	26	$17.80	$17.80	$17.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.53 / $55.76 / $155.47	Professional		$37.53	$55.76	$155.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.15 / $15.70 / $39.93	Professional	26	$9.15	$15.70	$39.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.77 / $36.84 / $116.26	Professional	TC	$27.77	$36.84	$116.26
United Facility/Professional Professional Modifier Low / Median / High Price $46.16 / $94.49 / $176.80	Professional		$46.16	$94.49	$176.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.55 / $23.30 / $42.85	Professional	26	$13.55	$23.30	$42.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.18 / $75.42 / $133.94	Professional	TC	$32.18	$75.42	$133.94