Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $60.26 / $69.18	Facility	26	$46.77	$60.26	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $354.81	Professional		$123.03	$199.53	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $54.95 / $199.53	Professional	26	$37.15	$54.95	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $120.23 / $257.04	Professional	TC	$83.18	$120.23	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $173.78	Professional		$85.11	$114.82	$173.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $37.15 / $63.10	Professional	26	$30.90	$37.15	$63.10
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $63.10 / $75.86	Professional	TC	$53.70	$63.10	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $245.47	Professional		$162.18	$194.98	$245.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $57.54 / $81.28	Professional	26	$44.67	$57.54	$81.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $138.04 / $173.78	Professional	TC	$117.49	$138.04	$173.78
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $39.81 / $85.11	Professional	26	$38.90	$39.81	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $177.83 / $338.84	Professional		$91.20	$177.83	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $51.29 / $91.20	Professional	26	$29.51	$51.29	$91.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $114.82 / $245.47	Professional	TC	$60.26	$114.82	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $316.23	Professional		$112.20	$162.18	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $47.86 / $77.62	Professional	26	$35.48	$47.86	$77.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $109.65 / $204.17	Professional	TC	$77.62	$109.65	$204.17