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 / $75.86	Facility	26	$60.26	$60.26	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $389.05	Professional		$112.20	$181.97	$389.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $53.70 / $147.91	Professional	26	$44.67	$53.70	$147.91
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $69.18 / $69.18 / $69.18	Professional	52	$69.18	$69.18	$69.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $120.23 / $309.03	Professional	TC	$74.13	$120.23	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $147.91	Professional		$83.18	$112.20	$147.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $43.65 / $79.43	Professional	26	$38.90	$43.65	$79.43
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $66.07 / $123.03	Professional	TC	$23.44	$66.07	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $281.84	Professional		$165.96	$199.53	$281.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $70.79 / $91.20	Professional	26	$56.23	$70.79	$91.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $128.82 / $181.97	Professional	TC	$109.65	$128.82	$181.97
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $48.98 / $72.44	Professional	26	$47.86	$48.98	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $346.74	Professional		$97.72	$177.83	$346.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $58.88 / $104.71	Professional	26	$36.31	$58.88	$104.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $112.20 / $257.04	Professional	TC	$57.54	$112.20	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $346.74	Professional		$131.83	$181.97	$346.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $58.88 / $89.13	Professional	26	$39.81	$58.88	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $112.20 / $213.80	Professional	TC	$85.11	$112.20	$213.80