Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $61.66 / $77.62	Facility	26	$54.95	$61.66	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $181.97	Professional		$69.18	$100.00	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $44.67 / $141.25	Professional	26	$16.98	$44.67	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $56.23 / $144.54	Professional	TC	$40.74	$56.23	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $37.15 / $64.57	Professional	26	$37.15	$37.15	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $147.91	Professional		$102.33	$120.23	$147.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $60.26 / $70.79	Professional	26	$30.20	$60.26	$70.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $60.26 / $104.71	Professional	TC	$51.29	$60.26	$104.71
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $44.67 / $47.86	Professional	26	$42.66	$44.67	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $245.47	Professional		$61.66	$107.15	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $35.48 / $85.11	Professional	26	$16.60	$35.48	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $61.66 / $208.93	Professional	TC	$34.67	$61.66	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $436.52	Professional		$74.13	$120.23	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $42.66 / $64.57	Professional	26	$15.49	$42.66	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $64.57 / $389.05	Professional	TC	$47.86	$64.57	$389.05