Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $60.26 / $79.43	Facility	26	$54.95	$60.26	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $331.13	Professional		$128.82	$204.17	$331.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $56.23 / $147.91	Professional	26	$43.65	$56.23	$147.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $120.23 / $239.88	Professional	TC	$81.28	$120.23	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $107.15	Professional		$29.51	$29.51	$107.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $44.67 / $74.13	Professional	26	$35.48	$44.67	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $288.40	Professional		$162.18	$194.98	$288.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $66.07 / $85.11	Professional	26	$51.29	$66.07	$85.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $128.82 / $204.17	Professional	TC	$109.65	$128.82	$204.17
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $46.77 / $95.50	Professional	26	$43.65	$46.77	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $173.78 / $346.74	Professional		$95.50	$173.78	$346.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $52.48 / $95.50	Professional	26	$34.67	$52.48	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $120.23 / $257.04	Professional	TC	$58.88	$120.23	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $338.84	Professional		$131.83	$177.83	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $52.48 / $81.28	Professional	26	$39.81	$52.48	$81.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $117.49 / $223.87	Professional	TC	$87.10	$117.49	$223.87