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 / $102.33	Facility	26	$60.26	$64.57	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $426.58	Professional		$173.78	$263.03	$426.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $64.57 / $125.89	Professional	26	$51.29	$64.57	$125.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $190.55 / $346.74	Professional	TC	$123.03	$190.55	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $54.95 / $63.10	Professional	26	$45.71	$54.95	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $467.74	Professional		$251.19	$302.00	$467.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $83.18 / $107.15	Professional	26	$66.07	$83.18	$107.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $213.80 / $363.08	Professional	TC	$181.97	$213.80	$363.08
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $57.54 / $57.54	Professional	26	$39.81	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $501.19	Professional		$144.54	$263.03	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $66.07 / $123.03	Professional	26	$42.66	$66.07	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $186.21 / $398.11	Professional	TC	$95.50	$186.21	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $501.19	Professional		$199.53	$263.03	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $64.57 / $102.33	Professional	26	$48.98	$64.57	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $186.21 / $354.81	Professional	TC	$138.04	$186.21	$354.81