Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.20 / $64.00 / $78.87	Facility	26	$49.20	$64.00	$78.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.03 / $266.58 / $320.00	Professional		$149.03	$266.58	$320.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $60.00 / $100.21	Professional	26	$44.14	$60.00	$100.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.39 / $201.03 / $240.00	Professional	TC	$91.39	$201.03	$240.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.45 / $49.20 / $54.85	Professional	26	$40.45	$49.20	$54.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.82 / $216.68 / $320.52	Professional		$176.82	$216.68	$320.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.32 / $76.63 / $97.36	Professional	26	$55.32	$76.63	$97.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $121.50 / $144.10 / $223.17	Professional	TC	$121.50	$144.10	$223.17
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $37.90 / $42.78 / $45.86	Professional	26	$37.90	$42.78	$45.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.80 / $165.03 / $338.33	Professional		$81.80	$165.03	$338.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.71 / $57.04 / $95.46	Professional	26	$30.71	$57.04	$95.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.09 / $102.22 / $253.85	Professional	TC	$51.09	$102.22	$253.85
United Facility/Professional Professional Modifier Low / Median / High Price $135.96 / $180.82 / $339.81	Professional		$135.96	$180.82	$339.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.08 / $54.84 / $87.17	Professional	26	$40.08	$54.84	$87.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.66 / $120.08 / $225.75	Professional	TC	$88.66	$120.08	$225.75