Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.76 / $60.00 / $64.00	Facility	26	$38.76	$60.00	$64.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $130.59 / $300.00	Professional		$81.09	$130.59	$300.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.07 / $58.07 / $77.65	Professional	26	$34.07	$58.07	$77.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.54 / $66.33 / $240.00	Professional	TC	$35.54	$66.33	$240.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.89 / $74.06 / $90.96	Professional		$51.89	$74.06	$90.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.40 / $41.19 / $69.47	Professional	26	$39.40	$41.19	$69.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.06 / $105.14 / $130.41	Professional		$90.06	$105.14	$130.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.33 / $56.74 / $71.27	Professional	26	$44.33	$56.74	$71.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.74 / $50.77 / $77.83	Professional	TC	$45.74	$50.77	$77.83
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $34.22 / $36.60 / $39.67	Professional	26	$34.22	$36.60	$39.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $79.15 / $160.53	Professional		$47.15	$79.15	$160.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.33 / $41.51 / $70.18	Professional	26	$23.33	$41.51	$70.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.06 / $38.25 / $68.56	Professional	TC	$23.06	$38.25	$68.56
United Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $84.25 / $173.44	Professional		$57.68	$84.25	$173.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.72 / $42.45 / $68.94	Professional	26	$31.72	$42.45	$68.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.94 / $36.34 / $116.48	Professional	TC	$25.94	$36.34	$116.48