Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $21.38 / $25.12	Facility	26	$19.95	$21.38	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $275.42	Professional		$51.29	$69.18	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $20.89 / $74.13	Professional	26	$15.85	$20.89	$74.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $28.84 / $229.09 / $263.03	Professional	50	$28.84	$229.09	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $44.67 / $67.61	Professional	TC	$36.31	$44.67	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $69.18	Professional		$48.98	$63.10	$69.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $18.20 / $22.39	Professional	26	$15.85	$18.20	$22.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $69.18 / $77.62	Professional		$58.88	$69.18	$77.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $21.38 / $23.44	Professional	26	$18.20	$21.38	$23.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $47.86 / $53.70	Professional	TC	$40.74	$47.86	$53.70
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $25.12 / $39.81	Professional	26	$18.20	$25.12	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $120.23	Professional		$52.48	$72.44	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $22.91 / $34.67	Professional	26	$17.38	$22.91	$34.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $51.29 / $85.11	Professional	TC	$36.31	$51.29	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $104.71	Professional		$50.12	$63.10	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.05 / $33.11	Professional	26	$15.85	$19.05	$33.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $43.65 / $72.44	Professional	TC	$33.88	$43.65	$72.44