Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.36 / $42.89 / $55.90	Facility	26	$34.36	$42.89	$55.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.32 / $116.17 / $181.31	Professional		$91.32	$116.17	$181.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.67 / $38.86 / $51.21	Professional	26	$27.67	$38.86	$51.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.97 / $77.65 / $130.10	Professional	TC	$62.97	$77.65	$130.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.04 / $34.86 / $75.58	Professional	26	$31.04	$34.86	$75.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.14 / $141.19 / $180.62	Professional		$125.14	$141.19	$180.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.77 / $49.69 / $62.23	Professional	26	$38.77	$49.69	$62.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $86.36 / $98.82 / $130.91	Professional	TC	$86.36	$98.82	$130.91
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $30.27 / $30.27 / $31.68	Professional	26	$30.27	$30.27	$31.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $107.53 / $190.38	Professional		$63.30	$107.53	$190.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.64 / $36.24 / $62.40	Professional	26	$20.64	$36.24	$62.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $71.97 / $128.30	Professional	TC	$42.66	$71.97	$128.30
United Facility/Professional Professional Modifier Low / Median / High Price $80.38 / $110.98 / $184.49	Professional		$80.38	$110.98	$184.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.69 / $36.79 / $60.14	Professional	26	$27.69	$36.79	$60.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.69 / $74.70 / $113.49	Professional	TC	$52.69	$74.70	$113.49