Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.48 / $60.00 / $73.65	Facility	26	$41.48	$60.00	$73.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.06 / $260.81 / $320.00	Professional		$138.06	$260.81	$320.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.78 / $60.00 / $89.10	Professional	26	$41.78	$60.00	$89.10
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $55.88 / $150.00 / $160.00	Professional	52	$55.88	$150.00	$160.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.27 / $201.03 / $240.00	Professional	TC	$96.27	$201.03	$240.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $114.57 / $120.10	Professional		$84.50	$114.57	$120.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.31 / $42.54 / $75.04	Professional	26	$37.31	$42.54	$75.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $213.19 / $327.57	Professional		$175.41	$213.19	$327.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.38 / $65.59 / $104.40	Professional	26	$47.38	$65.59	$104.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.03 / $147.59 / $223.17	Professional	TC	$128.03	$147.59	$223.17
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $36.95 / $39.25 / $101.28	Professional	26	$36.95	$39.25	$101.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $155.02 / $302.83	Professional		$80.20	$155.02	$302.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.52 / $49.25 / $90.96	Professional	26	$26.52	$49.25	$90.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.68 / $99.70 / $216.62	Professional	TC	$53.68	$99.70	$216.62
United Facility/Professional Professional Modifier Low / Median / High Price $116.11 / $169.76 / $332.11	Professional		$116.11	$169.76	$332.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.79 / $49.13 / $79.06	Professional	26	$34.79	$49.13	$79.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.69 / $109.44 / $210.21	Professional	TC	$76.69	$109.44	$210.21