Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.50 / $61.18 / $82.20	Facility	26	$50.50	$61.18	$82.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.21 / $164.91 / $252.95	Professional		$105.21	$164.91	$252.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $57.82 / $75.34	Professional	26	$29.91	$57.82	$75.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.22 / $107.59 / $177.61	Professional	TC	$77.22	$107.59	$177.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.45 / $46.16 / $53.28	Professional	26	$45.45	$46.16	$53.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.03 / $198.24 / $265.25	Professional		$175.03	$198.24	$265.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.98 / $63.27 / $79.37	Professional	26	$54.98	$63.27	$79.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $117.73 / $134.72 / $203.46	Professional	TC	$117.73	$134.72	$203.46
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $44.31 / $44.31 / $47.19	Professional	26	$44.31	$44.31	$47.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $147.34 / $265.95	Professional		$88.43	$147.34	$265.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.55 / $46.33 / $90.74	Professional	26	$29.55	$46.33	$90.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.20 / $105.02 / $182.83	Professional	TC	$58.20	$105.02	$182.83
United Facility/Professional Professional Modifier Low / Median / High Price $106.38 / $152.44 / $233.65	Professional		$106.38	$152.44	$233.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.88 / $51.85 / $69.84	Professional	26	$29.88	$51.85	$69.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.83 / $108.37 / $167.10	Professional	TC	$70.83	$108.37	$167.10