Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.25 / $14.50 / $18.70	Facility	26	$14.25	$14.50	$18.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $61.13 / $98.62	Professional		$50.71	$61.13	$98.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.16 / $14.26 / $54.00	Professional	26	$11.16	$14.26	$54.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $25.09 / $30.57 / $43.25	Professional	52	$25.09	$30.57	$43.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.11 / $45.80 / $73.92	Professional	TC	$39.11	$45.80	$73.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $52.02 / $67.19	Professional		$44.59	$52.02	$67.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.59 / $12.88 / $19.82	Professional	26	$10.59	$12.88	$19.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $62.12 / $86.93	Professional		$51.88	$62.12	$86.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.36 / $14.77 / $20.69	Professional	26	$12.36	$14.77	$20.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.60 / $48.15 / $66.26	Professional	TC	$40.60	$48.15	$66.26
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $11.88 / $12.37 / $12.37	Professional	26	$11.88	$12.37	$12.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.55 / $13.55 / $13.55	Facility	26	$13.55	$13.55	$13.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $65.23 / $100.60	Professional		$52.92	$65.23	$100.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.11 / $15.19 / $24.65	Professional	26	$12.11	$15.19	$24.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.89 / $50.10 / $78.97	Professional	TC	$40.89	$50.10	$78.97
United Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $54.24 / $92.92	Professional		$43.60	$54.24	$92.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.10 / $12.63 / $21.41	Professional	26	$10.10	$12.63	$21.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.69 / $41.16 / $69.61	Professional	TC	$32.69	$41.16	$69.61