Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.92 / $108.45 / $154.82	Facility	26	$96.92	$108.45	$154.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.63 / $211.03 / $307.76	Professional		$136.63	$211.03	$307.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $108.45 / $138.49	Professional	26	$56.82	$108.45	$138.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.41 / $91.60 / $211.66	Professional	TC	$60.41	$91.60	$211.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $98.98 / $101.44 / $154.93	Professional	26	$98.98	$101.44	$154.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.41 / $228.68 / $326.74	Professional		$189.41	$228.68	$326.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $101.84 / $119.54 / $155.22	Professional	26	$101.84	$119.54	$155.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $80.84 / $92.45 / $258.77	Professional	TC	$80.84	$92.45	$258.77
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $83.90 / $85.99 / $88.97	Professional	26	$83.90	$85.99	$88.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.83 / $183.37 / $393.16	Professional		$97.83	$183.37	$393.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.23 / $90.46 / $172.13	Professional	26	$57.23	$90.46	$172.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.60 / $78.63 / $260.39	Professional	TC	$40.60	$78.63	$260.39
United Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $213.03 / $528.69	Professional		$140.69	$213.03	$528.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.67 / $97.14 / $147.96	Professional	26	$56.67	$97.14	$147.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.41 / $92.55 / $410.24	Professional	TC	$68.41	$92.55	$410.24