Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.88 / $60.00 / $86.94	Facility	26	$52.88	$60.00	$86.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.22 / $265.38 / $320.00	Professional		$152.22	$265.38	$320.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.78 / $60.00 / $105.94	Professional	26	$46.78	$60.00	$105.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.00 / $196.81 / $240.00	Professional	TC	$92.00	$196.81	$240.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.81 / $119.81 / $119.81	Professional		$119.81	$119.81	$119.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.96 / $53.81 / $94.94	Professional	26	$47.96	$53.81	$94.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.13 / $221.65 / $271.26	Professional		$180.13	$221.65	$271.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.50 / $83.74 / $99.28	Professional	26	$60.50	$83.74	$99.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $119.63 / $137.91 / $175.42	Professional	TC	$119.63	$137.91	$175.42
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $46.76 / $46.76 / $49.19	Professional	26	$46.76	$46.76	$49.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.86 / $155.75 / $320.00	Professional		$83.86	$155.75	$320.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.57 / $61.01 / $103.50	Professional	26	$33.57	$61.01	$103.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.29 / $93.40 / $235.47	Professional	TC	$50.29	$93.40	$235.47
United Facility/Professional Professional Modifier Low / Median / High Price $110.71 / $171.44 / $329.87	Professional		$110.71	$171.44	$329.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.92 / $58.92 / $98.40	Professional	26	$42.92	$58.92	$98.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.87 / $102.66 / $210.26	Professional	TC	$64.87	$102.66	$210.26