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 $139.78 / $262.47 / $320.00	Professional		$139.78	$262.47	$320.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.82 / $60.00 / $100.38	Professional	26	$43.82	$60.00	$100.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.69 / $201.03 / $240.00	Professional	TC	$90.69	$201.03	$240.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.10 / $44.73 / $86.89	Professional	26	$35.10	$44.73	$86.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.88 / $215.61 / $316.25	Professional		$175.88	$215.61	$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 $120.56 / $144.10 / $223.17	Professional	TC	$120.56	$144.10	$223.17
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $42.78 / $45.86 / $49.98	Professional	26	$42.78	$45.86	$49.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $161.97 / $325.75	Professional		$81.59	$161.97	$325.75
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 $231.80 / $231.80 / $231.80	Professional	50	$231.80	$231.80	$231.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.89 / $101.43 / $227.05	Professional	TC	$50.89	$101.43	$227.05
United Facility/Professional Professional Modifier Low / Median / High Price $131.93 / $180.95 / $335.29	Professional		$131.93	$180.95	$335.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.97 / $53.94 / $92.09	Professional	26	$39.97	$53.94	$92.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.88 / $118.33 / $222.14	Professional	TC	$85.88	$118.33	$222.14