Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.37 / $55.12 / $78.04	Facility	26	$48.37	$55.12	$78.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $126.72 / $188.91	Professional		$81.59	$126.72	$188.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $55.11 / $69.62	Professional	26	$15.71	$55.11	$69.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.29 / $65.98 / $146.43	Professional	TC	$43.29	$65.98	$146.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.33 / $50.33 / $50.33	Professional	26	$50.33	$50.33	$50.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $129.94 / $164.13	Professional		$111.36	$129.94	$164.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.15 / $59.60 / $74.87	Professional	26	$28.15	$59.60	$74.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.23 / $65.47 / $143.55	Professional	TC	$57.23	$65.47	$143.55
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $41.76 / $42.89 / $48.12	Professional	26	$41.76	$42.89	$48.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.15 / $103.12 / $238.96	Professional		$57.15	$103.12	$238.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.01 / $36.08 / $85.75	Professional	26	$23.01	$36.08	$85.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.64 / $55.68 / $179.63	Professional	TC	$28.64	$55.68	$179.63
United Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $122.64 / $426.28	Professional		$73.51	$122.64	$426.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.58 / $44.82 / $66.56	Professional	26	$15.58	$44.82	$66.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.73 / $66.89 / $410.24	Professional	TC	$49.73	$66.89	$410.24