Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.26 / $63.84 / $101.09	Facility	26	$56.26	$63.84	$101.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.08 / $300.00 / $341.29	Professional		$175.08	$300.00	$341.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $60.00 / $107.69	Professional	26	$50.07	$60.00	$107.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.84 / $240.00 / $256.00	Professional	TC	$123.84	$240.00	$256.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.08 / $59.90 / $101.15	Professional	26	$51.08	$59.90	$101.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.04 / $277.77 / $423.86	Professional		$228.04	$277.77	$423.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.42 / $89.19 / $107.19	Professional	26	$64.42	$89.19	$107.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $163.62 / $188.58 / $316.70	Professional	TC	$163.62	$188.58	$316.70
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $49.80 / $52.80 / $102.70	Professional	26	$49.80	$52.80	$102.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.42 / $208.11 / $400.52	Professional		$104.42	$208.11	$400.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.76 / $64.87 / $110.16	Professional	26	$35.76	$64.87	$110.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.67 / $137.63 / $282.92	Professional	TC	$68.67	$137.63	$282.92
United Facility/Professional Professional Modifier Low / Median / High Price $166.07 / $226.47 / $407.90	Professional		$166.07	$226.47	$407.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.70 / $61.93 / $98.07	Professional	26	$45.70	$61.93	$98.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.12 / $154.49 / $288.73	Professional	TC	$114.12	$154.49	$288.73