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 / $87.10	Facility	26	$60.26	$64.57	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $363.08	Professional		$125.89	$186.21	$363.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $60.26 / $151.36	Professional	26	$46.77	$60.26	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $114.82 / $239.88	Professional	TC	$77.62	$114.82	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $112.20 / $128.82	Professional		$107.15	$112.20	$128.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $42.66 / $64.57	Professional	26	$38.02	$42.66	$64.57
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $79.43 / $93.33	Professional	TC	$79.43	$79.43	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $263.03	Professional		$165.96	$199.53	$263.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $70.79 / $91.20	Professional	26	$56.23	$70.79	$91.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $128.82 / $162.18	Professional	TC	$109.65	$128.82	$162.18
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $50.12 / $50.12	Professional	26	$39.81	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $177.83 / $338.84	Professional		$95.50	$177.83	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $56.23 / $104.71	Professional	26	$36.31	$56.23	$104.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $102.33 / $245.47	Professional	TC	$57.54	$102.33	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $331.13	Professional		$112.20	$169.82	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $54.95 / $87.10	Professional	26	$41.69	$54.95	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $102.33 / $208.93	Professional	TC	$69.18	$102.33	$208.93