Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.82 / $60.00 / $76.51	Facility	26	$46.82	$60.00	$76.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.99 / $233.03 / $300.00	Professional		$131.99	$233.03	$300.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.14 / $60.00 / $93.80	Professional	26	$42.14	$60.00	$93.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.89 / $152.69 / $240.00	Professional	TC	$84.89	$152.69	$240.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $49.38 / $49.38 / $49.38	Professional	26	$49.38	$49.38	$49.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.81 / $190.24 / $233.90	Professional		$151.81	$190.24	$233.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.12 / $69.41 / $88.91	Professional	26	$53.12	$69.41	$88.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $98.69 / $123.94 / $147.47	Professional	TC	$98.69	$123.94	$147.47
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $41.04 / $41.04 / $44.22	Professional	26	$41.04	$41.04	$44.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.17 / $152.60 / $287.38	Professional		$82.17	$152.60	$287.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.49 / $50.75 / $91.66	Professional	26	$29.49	$50.75	$91.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.69 / $97.85 / $200.59	Professional	TC	$52.69	$97.85	$200.59
United Facility/Professional Professional Modifier Low / Median / High Price $108.49 / $160.83 / $272.86	Professional		$108.49	$160.83	$272.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.21 / $52.07 / $83.50	Professional	26	$38.21	$52.07	$83.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.20 / $107.05 / $195.78	Professional	TC	$69.20	$107.05	$195.78