Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.90 / $60.00 / $90.27	Facility	26	$54.90	$60.00	$90.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.37 / $300.00 / $320.00	Professional		$160.37	$300.00	$320.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.57 / $60.00 / $109.99	Professional	26	$48.57	$60.00	$109.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $105.00 / $208.43 / $240.00	Professional	TC	$105.00	$208.43	$240.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.90 / $55.90 / $58.44	Professional	26	$55.90	$55.90	$58.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.61 / $246.97 / $303.56	Professional		$201.61	$246.97	$303.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.84 / $87.00 / $103.12	Professional	26	$62.84	$87.00	$103.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.77 / $159.97 / $204.43	Professional	TC	$138.77	$159.97	$204.43
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $48.58 / $48.58 / $51.47	Professional	26	$48.58	$48.58	$51.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.37 / $173.40 / $353.89	Professional		$93.37	$173.40	$353.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.88 / $59.79 / $107.48	Professional	26	$34.88	$59.79	$107.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.49 / $106.63 / $255.50	Professional	TC	$58.49	$106.63	$255.50
United Facility/Professional Professional Modifier Low / Median / High Price $121.08 / $189.74 / $353.19	Professional		$121.08	$189.74	$353.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.30 / $59.88 / $96.08	Professional	26	$44.30	$59.88	$96.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.98 / $118.70 / $225.92	Professional	TC	$75.98	$118.70	$225.92