Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $64.57 / $102.33	Facility	26	$60.26	$64.57	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $338.84	Professional		$144.54	$208.93	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $69.18 / $147.91	Professional	26	$54.95	$69.18	$147.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $120.23 / $239.88	Professional	TC	$87.10	$120.23	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $128.82 / $229.09	Professional		$50.12	$128.82	$229.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $58.88 / $95.50	Professional	26	$45.71	$58.88	$95.50
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $66.07 / $66.07	Professional	TC	$66.07	$66.07	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $302.00	Professional		$186.21	$223.87	$302.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $85.11 / $107.15	Professional	26	$66.07	$85.11	$107.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $141.25 / $181.97	Professional	TC	$120.23	$141.25	$181.97
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $58.88 / $58.88	Professional	26	$39.81	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $354.81	Professional		$112.20	$190.55	$354.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $66.07 / $123.03	Professional	26	$43.65	$66.07	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $117.49 / $245.47	Professional	TC	$63.10	$117.49	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $338.84	Professional		$141.25	$186.21	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $66.07 / $104.71	Professional	26	$50.12	$66.07	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $112.20 / $213.80	Professional	TC	$85.11	$112.20	$213.80