Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.95 / $80.34 / $113.80	Facility	26	$71.95	$80.34	$113.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.84 / $171.84 / $233.61	Professional		$106.84	$171.84	$233.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.65 / $80.34 / $104.69	Professional	26	$49.65	$80.34	$104.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.16 / $79.15 / $163.68	Professional	TC	$51.16	$79.15	$163.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.19 / $82.19 / $82.19	Professional		$82.19	$82.19	$82.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $72.70 / $72.70 / $74.77	Professional	26	$72.70	$72.70	$74.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $176.46 / $236.83	Professional		$147.22	$176.46	$236.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.92 / $94.57 / $109.83	Professional	26	$79.92	$94.57	$109.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.31 / $77.01 / $170.09	Professional	TC	$67.31	$77.01	$170.09
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $61.64 / $62.97 / $64.83	Professional	26	$61.64	$62.97	$64.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $143.41 / $311.45	Professional		$75.42	$143.41	$311.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.04 / $69.86 / $125.73	Professional	26	$42.04	$69.86	$125.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.36 / $65.23 / $200.75	Professional	TC	$33.36	$65.23	$200.75
United Facility/Professional Professional Modifier Low / Median / High Price $106.10 / $164.15 / $527.45	Professional		$106.10	$164.15	$527.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.45 / $71.84 / $101.87	Professional	26	$49.45	$71.84	$101.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.69 / $77.73 / $410.24	Professional	TC	$56.69	$77.73	$410.24