Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.53 / $53.35 / $71.05	Facility	26	$43.53	$53.35	$71.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.43 / $148.22 / $229.07	Professional		$108.43	$148.22	$229.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.53 / $50.45 / $65.38	Professional	26	$28.53	$50.45	$65.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.92 / $98.23 / $163.71	Professional	TC	$75.92	$98.23	$163.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.50 / $46.33 / $78.20	Professional	26	$39.50	$46.33	$78.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.62 / $179.12 / $225.27	Professional		$158.62	$179.12	$225.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.84 / $58.97 / $68.98	Professional	26	$49.84	$58.97	$68.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $105.45 / $120.73 / $171.36	Professional	TC	$105.45	$120.73	$171.36
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $38.51 / $38.51 / $40.93	Professional	26	$38.51	$38.51	$40.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.92 / $132.06 / $240.36	Professional		$79.92	$132.06	$240.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.27 / $42.96 / $78.83	Professional	26	$26.27	$42.96	$78.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.65 / $90.64 / $161.36	Professional	TC	$53.65	$90.64	$161.36
United Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $135.99 / $221.02	Professional		$84.23	$135.99	$221.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.71 / $45.21 / $69.29	Professional	26	$29.71	$45.21	$69.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.54 / $94.56 / $143.58	Professional	TC	$64.54	$94.56	$143.58