Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $60.26 / $91.20	Facility	26	$60.26	$60.26	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $457.09	Professional		$169.82	$275.42	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $69.18 / $177.83	Professional	26	$51.29	$69.18	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $190.55 / $331.13	Professional	TC	$120.23	$190.55	$331.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $58.88 / $93.33	Professional	26	$40.74	$58.88	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $275.42 / $457.09	Professional		$229.09	$275.42	$457.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $81.28 / $117.49	Professional	26	$58.88	$81.28	$117.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $199.53 / $338.84	Professional	TC	$169.82	$199.53	$338.84
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $52.48 / $52.48	Professional	26	$39.81	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $467.74	Professional		$131.83	$251.19	$467.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $67.61 / $120.23	Professional	26	$38.90	$67.61	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $181.97 / $354.81	Professional	TC	$89.13	$181.97	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $457.09	Professional		$190.55	$251.19	$457.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $60.26 / $104.71	Professional	26	$47.86	$60.26	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $186.21 / $331.13	Professional	TC	$134.90	$186.21	$331.13