Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.91 / $52.91 / $52.91	Facility		$52.91	$52.91	$52.91
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.93 / $29.93 / $29.93	Facility	26	$29.93	$29.93	$29.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $57.33 / $106.81	Professional		$33.64	$57.33	$106.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.61 / $37.29 / $63.26	Professional	26	$18.61	$37.29	$63.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.88 / $23.35 / $48.78	Professional	TC	$9.88	$23.35	$48.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $69.83 / $69.83	Professional		$69.83	$69.83	$69.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.06 / $32.47 / $48.93	Professional	26	$31.06	$32.47	$48.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $62.77 / $68.56	Professional		$46.36	$62.77	$68.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.16 / $35.93 / $54.13	Professional	26	$28.16	$35.93	$54.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.20 / $18.16 / $29.28	Professional	TC	$13.20	$18.16	$29.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.87 / $48.42 / $48.42	Facility		$29.87	$48.42	$48.42
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $27.02 / $27.02 / $27.02	Professional	26	$27.02	$27.02	$27.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $26.79 / $99.62	Professional		$21.22	$26.79	$99.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.83 / $20.53 / $59.49	Professional	26	$13.83	$20.53	$59.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.70 / $10.98 / $37.46	Professional	TC	$4.70	$10.98	$37.46
United Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $54.09 / $101.21	Professional		$28.82	$54.09	$101.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $32.47 / $59.97	Professional	26	$18.76	$32.47	$59.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.17 / $16.20 / $41.24	Professional	TC	$10.17	$16.20	$41.24