Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.46 / $61.42 / $86.36	Facility	26	$53.46	$61.42	$86.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.28 / $267.14 / $320.00	Professional		$143.28	$267.14	$320.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $60.00 / $108.28	Professional	26	$44.14	$60.00	$108.28
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $57.93 / $150.00 / $160.00	Professional	52	$57.93	$150.00	$160.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.34 / $201.03 / $240.00	Professional	TC	$90.34	$201.03	$240.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.99 / $125.19 / $125.19	Professional		$87.99	$125.19	$125.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.11 / $48.60 / $79.76	Professional	26	$38.11	$48.60	$79.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $221.62 / $316.05	Professional		$180.20	$221.62	$316.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.11 / $80.70 / $94.74	Professional	26	$60.11	$80.70	$94.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.09 / $143.56 / $223.17	Professional	TC	$120.09	$143.56	$223.17
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $46.45 / $48.85 / $71.95	Professional	26	$46.45	$48.85	$71.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.84 / $162.13 / $343.97	Professional		$83.84	$162.13	$343.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.35 / $60.33 / $103.59	Professional	26	$33.35	$60.33	$103.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.49 / $97.88 / $250.22	Professional	TC	$50.49	$97.88	$250.22
United Facility/Professional Professional Modifier Low / Median / High Price $133.01 / $185.71 / $342.77	Professional		$133.01	$185.71	$342.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.95 / $60.72 / $94.18	Professional	26	$40.95	$60.72	$94.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.17 / $115.08 / $222.72	Professional	TC	$84.17	$115.08	$222.72