Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $60.26 / $66.07	Facility	26	$41.69	$60.26	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $120.23 / $302.00	Professional		$69.18	$120.23	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $41.69 / $77.62	Professional	26	$25.12	$41.69	$77.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $85.11 / $239.88	Professional	TC	$44.67	$85.11	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $109.65	Professional		$75.86	$81.28	$109.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $25.70 / $41.69	Professional	26	$20.89	$25.70	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $165.96	Professional		$97.72	$147.91	$165.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $38.02 / $48.98	Professional	26	$30.20	$38.02	$48.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $112.20 / $117.49	Professional	TC	$64.57	$112.20	$117.49
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $28.84 / $28.84	Professional	26	$26.30	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $239.88	Professional		$66.07	$107.15	$239.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $30.20 / $66.07	Professional	26	$19.50	$30.20	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $77.62 / $169.82	Professional	TC	$46.77	$77.62	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $162.18	Professional		$74.13	$107.15	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $29.51 / $44.67	Professional	26	$21.38	$29.51	$44.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $74.13 / $117.49	Professional	TC	$51.29	$74.13	$117.49