Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.65 / $28.65 / $28.65	Facility	26	$28.65	$28.65	$28.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $96.10 / $319.75	Professional		$63.95	$96.10	$319.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.76 / $31.80 / $202.80	Professional	26	$17.76	$31.80	$202.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.25 / $62.48 / $160.81	Professional	TC	$39.25	$62.48	$160.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.24 / $26.24 / $26.24	Professional	26	$26.24	$26.24	$26.24
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $55.25 / $55.25 / $70.42	Professional	TC	$55.25	$55.25	$70.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $98.21 / $134.84	Professional		$64.98	$98.21	$134.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.15 / $34.36 / $40.27	Professional	26	$26.15	$34.36	$40.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.84 / $58.28 / $100.46	Professional	TC	$38.84	$58.28	$100.46
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $25.59 / $25.59 / $25.59	Professional	26	$25.59	$25.59	$25.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.28 / $53.81 / $169.16	Professional		$33.28	$53.81	$169.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.12 / $19.23 / $56.51	Professional	26	$13.12	$19.23	$56.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $37.39 / $123.24	Professional	TC	$19.39	$37.39	$123.24
United Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $90.66 / $169.63	Professional		$42.95	$90.66	$169.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.19 / $30.32 / $56.13	Professional	26	$17.19	$30.32	$56.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.76 / $58.11 / $113.50	Professional	TC	$25.76	$58.11	$113.50