Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.53 / $63.75 / $76.08	Facility	26	$52.53	$63.75	$76.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $161.87 / $280.77	Professional		$134.40	$161.87	$280.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.10 / $60.28 / $91.06	Professional	26	$46.10	$60.28	$91.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.29 / $100.71 / $172.49	Professional	TC	$88.29	$100.71	$172.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.98 / $129.49 / $129.49	Professional		$90.98	$129.49	$129.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.92 / $53.46 / $94.31	Professional	26	$46.92	$53.46	$94.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.85 / $212.24 / $275.76	Professional		$186.85	$212.24	$275.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.11 / $77.02 / $96.30	Professional	26	$60.11	$77.02	$96.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.73 / $146.04 / $179.46	Professional	TC	$123.73	$146.04	$179.46
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $46.45 / $48.85 / $132.31	Professional	26	$46.45	$48.85	$132.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.65 / $154.94 / $271.77	Professional		$86.65	$154.94	$271.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.35 / $55.69 / $102.81	Professional	26	$33.35	$55.69	$102.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.31 / $92.31 / $165.80	Professional	TC	$53.31	$92.31	$165.80
United Facility/Professional Professional Modifier Low / Median / High Price $115.32 / $159.28 / $272.45	Professional		$115.32	$159.28	$272.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.79 / $56.17 / $87.82	Professional	26	$41.79	$56.17	$87.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.94 / $103.96 / $177.03	Professional	TC	$72.94	$103.96	$177.03