Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $64.57 / $107.15	Facility	26	$60.26	$64.57	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $363.08	Professional		$165.96	$234.42	$363.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $64.57 / $144.54	Professional	26	$51.29	$64.57	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $165.96 / $281.84	Professional	TC	$109.65	$165.96	$281.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $52.48 / $89.13	Professional	26	$43.65	$52.48	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $398.11	Professional		$208.93	$257.04	$398.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $79.43 / $104.71	Professional	26	$63.10	$79.43	$104.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $173.78 / $295.12	Professional	TC	$147.91	$173.78	$295.12
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $56.23 / $56.23	Professional	26	$39.81	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $229.09 / $426.58	Professional		$125.89	$229.09	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $64.57 / $117.49	Professional	26	$40.74	$64.57	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $154.88 / $323.59	Professional	TC	$79.43	$154.88	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $416.87	Professional		$169.82	$223.87	$416.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $63.10 / $97.72	Professional	26	$46.77	$63.10	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $151.36 / $288.40	Professional	TC	$112.20	$151.36	$288.40