Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.70 / $23.19 / $33.72	Facility	26	$20.70	$23.19	$33.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $100.66 / $166.90	Professional		$73.73	$100.66	$166.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.82 / $23.19 / $37.57	Professional	26	$16.82	$23.19	$37.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.63 / $76.15 / $135.65	Professional	TC	$51.63	$76.15	$135.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.23 / $107.23 / $107.23	Professional		$107.23	$107.23	$107.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.73 / $18.73 / $18.73	Professional	26	$18.73	$18.73	$18.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $123.73 / $147.24	Professional		$111.36	$123.73	$147.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.28 / $29.81 / $37.40	Professional	26	$23.28	$29.81	$37.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.94 / $93.92 / $111.31	Professional	TC	$85.94	$93.92	$111.31
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $18.29 / $18.29 / $19.45	Professional	26	$18.29	$18.29	$19.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $90.37 / $154.47	Professional		$57.04	$90.37	$154.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.46 / $22.03 / $37.47	Professional	26	$12.46	$22.03	$37.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.37 / $71.22 / $121.34	Professional	TC	$44.37	$71.22	$121.34
United Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $94.55 / $150.82	Professional		$67.36	$94.55	$150.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.25 / $21.82 / $35.84	Professional	26	$16.25	$21.82	$35.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.94 / $71.14 / $109.89	Professional	TC	$49.94	$71.14	$109.89