Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.55 / $32.44 / $38.29	Facility	26	$26.55	$32.44	$38.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $137.24 / $206.56	Professional		$82.81	$137.24	$206.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.42 / $29.40 / $41.74	Professional	26	$21.42	$29.40	$41.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $107.84 / $167.75	Professional	TC	$59.92	$107.84	$167.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.43 / $39.32 / $57.26	Professional	26	$18.43	$39.32	$57.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.41 / $156.41 / $186.13	Professional		$141.41	$156.41	$186.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.65 / $37.99 / $47.85	Professional	26	$29.65	$37.99	$47.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.23 / $118.42 / $140.91	Professional	TC	$102.23	$118.42	$140.91
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $22.93 / $22.93 / $24.42	Professional	26	$22.93	$22.93	$24.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $117.84 / $212.37	Professional		$70.61	$117.84	$212.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.63 / $28.21 / $47.89	Professional	26	$15.63	$28.21	$47.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.98 / $87.78 / $165.35	Professional	TC	$54.98	$87.78	$165.35
United Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $124.80 / $193.35	Professional		$77.45	$124.80	$193.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.10 / $27.80 / $44.70	Professional	26	$21.10	$27.80	$44.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.21 / $99.08 / $158.34	Professional	TC	$54.21	$99.08	$158.34