Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.91 / $52.18 / $152.30	Facility	26	$43.91	$52.18	$152.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $81.28 / $154.66	Professional		$66.62	$81.28	$154.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.51 / $43.91 / $75.18	Professional	26	$37.51	$43.91	$75.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $35.46 / $77.73	Professional	TC	$22.57	$35.46	$77.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $79.56 / $81.00	Professional		$79.56	$79.56	$81.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.59 / $39.59 / $59.93	Professional	26	$39.59	$39.59	$59.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $105.04 / $129.72	Professional		$65.09	$105.04	$129.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.22 / $49.60 / $71.27	Professional	26	$39.22	$49.60	$71.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.77 / $52.19 / $67.09	Professional	TC	$23.77	$52.19	$67.09
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $34.67 / $36.28	Professional	26	$34.67	$34.67	$36.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.22 / $89.93 / $152.66	Professional		$64.22	$89.93	$152.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.53 / $49.70 / $80.78	Professional	26	$36.53	$49.70	$80.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.10 / $45.10 / $75.84	Professional	TC	$27.10	$45.10	$75.84
United Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $66.84 / $114.38	Professional		$51.94	$66.84	$114.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.43 / $38.65 / $66.92	Professional	26	$30.43	$38.65	$66.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.11 / $28.65 / $49.64	Professional	TC	$19.11	$28.65	$49.64