Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.24 / $33.89 / $44.17	Facility	26	$27.24	$33.89	$44.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $121.44 / $191.93	Professional		$86.06	$121.44	$191.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.85 / $30.74 / $42.06	Professional	26	$21.85	$30.74	$42.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.40 / $90.70 / $140.53	Professional	TC	$61.40	$90.70	$140.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.42 / $79.42 / $79.42	Professional		$79.42	$79.42	$79.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.77 / $24.50 / $28.51	Professional	26	$23.77	$24.50	$28.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.10 / $129.82 / $172.62	Professional		$103.10	$129.82	$172.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $33.56 / $50.30	Professional	26	$30.20	$33.56	$50.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $71.56 / $96.26 / $120.65	Professional	TC	$71.56	$96.26	$120.65
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $23.55 / $25.39 / $27.43	Professional	26	$23.55	$25.39	$27.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $101.19 / $177.48	Professional		$62.14	$101.19	$177.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.07 / $27.10 / $48.32	Professional	26	$16.07	$27.10	$48.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.07 / $74.09 / $132.56	Professional	TC	$46.07	$74.09	$132.56
United Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $115.51 / $201.64	Professional		$78.12	$115.51	$201.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.74 / $29.00 / $47.52	Professional	26	$21.74	$29.00	$47.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.42 / $84.94 / $121.19	Professional	TC	$55.42	$84.94	$121.19