Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.45 / $21.59 / $28.56	Facility	26	$17.45	$21.59	$28.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $83.59 / $135.71	Professional		$56.31	$83.59	$135.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.85 / $20.46 / $27.91	Professional	26	$13.85	$20.46	$27.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.46 / $63.14 / $109.00	Professional	TC	$42.46	$63.14	$109.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $73.54 / $73.54	Professional		$54.19	$73.54	$73.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $99.79 / $120.85	Professional		$89.98	$99.79	$120.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.04 / $25.72 / $32.28	Professional	26	$20.04	$25.72	$32.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.77 / $76.97 / $90.34	Professional	TC	$67.77	$76.97	$90.34
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $15.53 / $15.53 / $16.80	Professional	26	$15.53	$15.53	$16.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.44 / $74.98 / $131.00	Professional		$46.44	$74.98	$131.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.58 / $19.00 / $32.01	Professional	26	$10.58	$19.00	$32.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.72 / $57.30 / $100.52	Professional	TC	$35.72	$57.30	$100.52
United Facility/Professional Professional Modifier Low / Median / High Price $55.87 / $79.42 / $124.25	Professional		$55.87	$79.42	$124.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $19.28 / $31.55	Professional	26	$14.08	$19.28	$31.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.46 / $57.96 / $86.79	Professional	TC	$36.46	$57.96	$86.79