Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.60 / $60.00 / $66.00	Facility	26	$28.60	$60.00	$66.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $171.78 / $300.00	Professional		$66.51	$171.78	$300.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.03 / $50.00 / $61.97	Professional	26	$24.03	$50.00	$61.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.50 / $129.28 / $240.00	Professional	TC	$42.50	$129.28	$240.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.85 / $30.16 / $62.61	Professional	26	$28.85	$30.16	$62.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.64 / $143.63 / $178.44	Professional		$82.64	$143.63	$178.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.03 / $42.07 / $51.64	Professional	26	$32.03	$42.07	$51.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.65 / $105.74 / $132.68	Professional	TC	$38.65	$105.74	$132.68
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $25.06 / $26.41 / $28.86	Professional	26	$25.06	$26.41	$28.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.72 / $106.76 / $191.32	Professional		$62.72	$106.76	$191.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.98 / $30.07 / $55.83	Professional	26	$17.98	$30.07	$55.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.73 / $70.48 / $135.49	Professional	TC	$44.73	$70.48	$135.49
United Facility/Professional Professional Modifier Low / Median / High Price $73.89 / $106.56 / $176.01	Professional		$73.89	$106.56	$176.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.31 / $30.85 / $49.93	Professional	26	$21.31	$30.85	$49.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.90 / $76.87 / $116.76	Professional	TC	$50.90	$76.87	$116.76