Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.59 / $44.61 / $63.47	Facility	26	$36.59	$44.61	$63.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.09 / $117.45 / $175.12	Professional		$87.09	$117.45	$175.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.89 / $40.43 / $61.76	Professional	26	$28.89	$40.43	$61.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $262.68 / $262.68 / $262.68	Professional	50	$262.68	$262.68	$262.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.20 / $74.65 / $116.77	Professional	TC	$58.20	$74.65	$116.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.15 / $94.44 / $103.05	Professional		$70.15	$94.44	$103.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.71 / $53.84 / $119.07	Professional	26	$25.71	$53.84	$119.07
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $105.23 / $126.19 / $147.16	Professional	50	$105.23	$126.19	$147.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $126.06 / $192.12	Professional		$107.15	$126.06	$192.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.13 / $45.20 / $65.70	Professional	26	$38.13	$45.20	$65.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.02 / $78.45 / $126.49	Professional	TC	$69.02	$78.45	$126.49
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $31.77 / $35.21 / $67.31	Professional	26	$31.77	$35.21	$67.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.97 / $104.12 / $180.44	Professional		$59.97	$104.12	$180.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.66 / $35.21 / $66.28	Professional	26	$21.66	$35.21	$66.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.29 / $63.88 / $117.30	Professional	TC	$38.29	$63.88	$117.30
United Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $108.99 / $174.38	Professional		$80.06	$108.99	$174.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.14 / $37.17 / $65.61	Professional	26	$27.14	$37.17	$65.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.90 / $69.73 / $120.78	Professional	TC	$50.90	$69.73	$120.78