Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.80 / $60.00 / $78.87	Facility	26	$48.80	$60.00	$78.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.07 / $300.00 / $322.77	Professional		$161.07	$300.00	$322.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.82 / $60.00 / $97.77	Professional	26	$43.82	$60.00	$97.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.04 / $215.93 / $240.00	Professional	TC	$114.04	$215.93	$240.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.69 / $137.69 / $156.12	Professional		$137.69	$137.69	$156.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.88 / $49.20 / $86.89	Professional	26	$43.88	$49.20	$86.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.83 / $248.99 / $316.25	Professional		$204.83	$248.99	$316.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.32 / $76.63 / $93.07	Professional	26	$55.32	$76.63	$93.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $149.51 / $172.37 / $223.17	Professional	TC	$149.51	$172.37	$223.17
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $42.78 / $45.86 / $92.47	Professional	26	$42.78	$45.86	$92.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.38 / $186.42 / $348.02	Professional		$100.38	$186.42	$348.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.71 / $55.85 / $95.02	Professional	26	$30.71	$55.85	$95.02
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $231.34 / $231.34 / $231.34	Professional	50	$231.34	$231.34	$231.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.66 / $129.38 / $253.13	Professional	TC	$69.66	$129.38	$253.13
United Facility/Professional Professional Modifier Low / Median / High Price $139.83 / $199.68 / $366.58	Professional		$139.83	$199.68	$366.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.49 / $53.92 / $89.57	Professional	26	$37.49	$53.92	$89.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.82 / $143.30 / $272.69	Professional	TC	$91.82	$143.30	$272.69