Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $64.57 / $95.50	Facility	26	$60.26	$64.57	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $346.74	Professional		$131.83	$194.98	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $67.61 / $141.25	Professional	26	$52.48	$67.61	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $114.82 / $239.88	Professional	TC	$77.62	$114.82	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $109.65 / $128.82	Professional		$102.33	$109.65	$128.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $45.71 / $79.43	Professional	26	$41.69	$45.71	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $269.15	Professional		$169.82	$204.17	$269.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $77.62 / $100.00	Professional	26	$61.66	$77.62	$100.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $125.89 / $158.49	Professional	TC	$107.15	$125.89	$158.49
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $54.95 / $54.95	Professional	26	$39.81	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $186.21 / $331.13	Professional		$97.72	$186.21	$331.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $63.10 / $114.82	Professional	26	$39.81	$63.10	$114.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $100.00 / $239.88	Professional	TC	$56.23	$100.00	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $331.13	Professional		$114.82	$173.78	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $61.66 / $95.50	Professional	26	$45.71	$61.66	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $100.00 / $199.53	Professional	TC	$67.61	$100.00	$199.53