Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $36.31 / $46.77	Facility	26	$33.11	$36.31	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $199.53	Professional		$85.11	$123.03	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $28.18 / $56.23	Professional	26	$20.89	$28.18	$56.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $95.50 / $144.54	Professional	TC	$70.79	$95.50	$144.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	26	$30.20	$30.20	$30.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $173.78	Professional		$131.83	$154.88	$173.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $36.31 / $47.86	Professional	26	$30.90	$36.31	$47.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $120.23 / $128.82	Professional	TC	$102.33	$120.23	$128.82
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $28.18 / $39.81	Professional	26	$26.30	$28.18	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $218.78	Professional		$72.44	$123.03	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $30.20 / $53.70	Professional	26	$19.05	$30.20	$53.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $91.20 / $169.82	Professional	TC	$54.95	$91.20	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $181.97	Professional		$83.18	$120.23	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.20 / $45.71	Professional	26	$22.91	$30.20	$45.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $91.20 / $131.83	Professional	TC	$58.88	$91.20	$131.83