Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.20 / $60.00 / $67.84	Facility	26	$42.20	$60.00	$67.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.55 / $216.21 / $320.00	Professional		$121.55	$216.21	$320.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.46 / $60.00 / $84.82	Professional	26	$36.46	$60.00	$84.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.54 / $160.87 / $240.00	Professional	TC	$72.54	$160.87	$240.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $100.44 / $100.44	Professional		$85.12	$100.44	$100.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.33 / $42.21 / $62.95	Professional	26	$31.33	$42.21	$62.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $176.63 / $222.20	Professional		$143.75	$176.63	$222.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.00 / $65.11 / $77.38	Professional	26	$47.00	$65.11	$77.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $96.75 / $111.52 / $147.72	Professional	TC	$96.75	$111.52	$147.72
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $36.65 / $38.93 / $71.48	Professional	26	$36.65	$38.93	$71.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $124.87 / $261.91	Professional		$67.23	$124.87	$261.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.32 / $47.61 / $81.30	Professional	26	$26.32	$47.61	$81.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.92 / $75.98 / $197.30	Professional	TC	$40.92	$75.98	$197.30
United Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $136.34 / $259.76	Professional		$86.38	$136.34	$259.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.75 / $45.58 / $72.06	Professional	26	$32.75	$45.58	$72.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.12 / $82.69 / $168.14	Professional	TC	$55.12	$82.69	$168.14