Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $67.61 / $87.10	Facility	26	$61.66	$67.61	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $407.38	Professional		$173.78	$213.80	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $52.48 / $123.03	Professional	26	$41.69	$52.48	$123.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $162.18 / $229.09	Professional	TC	$131.83	$162.18	$229.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $38.90 / $47.86	Professional	26	$38.90	$38.90	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $346.74	Professional		$251.19	$302.00	$346.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $67.61 / $89.13	Professional	26	$57.54	$67.61	$89.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $234.42 / $257.04	Professional	TC	$186.21	$234.42	$257.04
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $50.12 / $50.12	Professional	26	$48.98	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $501.19	Professional		$141.25	$229.09	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $56.23 / $104.71	Professional	26	$37.15	$56.23	$104.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $165.96 / $331.13	Professional	TC	$104.71	$165.96	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $371.54	Professional		$173.78	$234.42	$371.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $57.54 / $85.11	Professional	26	$44.67	$57.54	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $173.78 / $269.15	Professional	TC	$128.82	$173.78	$269.15