Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $42.66 / $52.48	Facility	26	$38.90	$42.66	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $239.88	Professional		$61.66	$87.10	$239.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $32.36 / $57.54	Professional	26	$22.91	$32.36	$57.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $173.78 / $204.17 / $407.38	Professional	50	$173.78	$204.17	$407.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $46.77 / $77.62	Professional	TC	$32.36	$46.77	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $51.29 / $58.88	Professional		$48.98	$51.29	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $144.54	Professional		$77.62	$93.33	$144.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $41.69 / $56.23	Professional	26	$34.67	$41.69	$56.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $51.29 / $87.10	Professional	TC	$43.65	$51.29	$87.10
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $31.62 / $39.81	Professional	26	$30.20	$31.62	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $83.18 / $169.82	Professional		$51.29	$83.18	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $35.48 / $66.07	Professional	26	$21.38	$35.48	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $47.86 / $112.20	Professional	TC	$28.84	$47.86	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $151.36	Professional		$69.18	$95.50	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $35.48 / $53.70	Professional	26	$25.70	$35.48	$53.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $58.88 / $87.10	Professional	TC	$39.81	$58.88	$87.10