Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $41.69 / $44.67	Facility	26	$37.15	$41.69	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $213.80	Professional		$83.18	$114.82	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $33.88 / $109.65	Professional	26	$20.89	$33.88	$109.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $85.11 / $144.54	Professional	TC	$61.66	$85.11	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $26.92 / $41.69	Professional	26	$15.49	$26.92	$41.69
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $44.67 / $44.67	Professional	TC	$44.67	$44.67	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $162.18	Professional		$107.15	$151.36	$162.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $39.81 / $47.86	Professional	26	$30.90	$39.81	$47.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $109.65 / $117.49	Professional	TC	$75.86	$109.65	$117.49
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $31.62 / $39.81	Professional	26	$31.62	$31.62	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $58.88 / $208.93	Professional		$44.67	$58.88	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.49 / $61.66	Professional	26	$12.88	$15.49	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $43.65 / $151.36	Professional	TC	$30.90	$43.65	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $186.21	Professional		$58.88	$85.11	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $21.88 / $51.29	Professional	26	$16.22	$21.88	$51.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $63.10 / $134.90	Professional	TC	$42.66	$63.10	$134.90