Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $46.77 / $60.26	Facility	26	$42.66	$46.77	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $288.40	Professional		$97.72	$151.36	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $37.15 / $87.10	Professional	26	$25.12	$37.15	$87.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $114.82 / $177.83	Professional	TC	$85.11	$114.82	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $38.02 / $38.02	Professional	26	$38.02	$38.02	$38.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $245.47	Professional		$151.36	$177.83	$245.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $46.77 / $63.10	Professional	26	$38.90	$46.77	$63.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $131.83 / $181.97	Professional	TC	$112.20	$131.83	$181.97
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $34.67 / $39.81	Professional	26	$33.88	$34.67	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $263.03	Professional		$95.50	$144.54	$263.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $38.02 / $70.79	Professional	26	$25.12	$38.02	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $107.15 / $199.53	Professional	TC	$70.79	$107.15	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $223.87	Professional		$107.15	$151.36	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $38.90 / $57.54	Professional	26	$27.54	$38.90	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $112.20 / $169.82	Professional	TC	$77.62	$112.20	$169.82