Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $63.10 / $102.33	Facility	26	$60.26	$63.10	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $416.87	Professional		$158.49	$229.09	$416.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $67.61 / $147.91	Professional	26	$52.48	$67.61	$147.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $151.36 / $281.84	Professional	TC	$109.65	$151.36	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $138.04 / $162.18	Professional		$131.83	$138.04	$162.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $60.26 / $95.50	Professional	26	$45.71	$60.26	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $338.84	Professional		$218.78	$263.03	$338.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $83.18 / $107.15	Professional	26	$66.07	$83.18	$107.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $177.83 / $223.87	Professional	TC	$151.36	$177.83	$223.87
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $57.54 / $128.82	Professional	26	$56.23	$57.54	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $416.87	Professional		$125.89	$218.78	$416.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $66.07 / $123.03	Professional	26	$42.66	$66.07	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $141.25 / $316.23	Professional	TC	$79.43	$141.25	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $416.87	Professional		$147.91	$213.80	$416.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $64.57 / $102.33	Professional	26	$48.98	$64.57	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $141.25 / $269.15	Professional	TC	$97.72	$141.25	$269.15