Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.08 / $47.44 / $60.40	Facility	26	$37.08	$47.44	$60.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.16 / $167.12 / $232.78	Professional		$126.16	$167.12	$232.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.02 / $43.08 / $54.58	Professional	26	$30.02	$43.08	$54.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.14 / $124.04 / $177.48	Professional	TC	$96.14	$124.04	$177.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.65 / $37.65 / $81.70	Professional	26	$37.65	$37.65	$81.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $179.32 / $275.02	Professional		$161.38	$179.32	$275.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.59 / $46.21 / $69.61	Professional	26	$41.59	$46.21	$69.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $113.14 / $133.11 / $208.00	Professional	TC	$113.14	$133.11	$208.00
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $32.71 / $32.71 / $36.56	Professional	26	$32.71	$32.71	$36.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.08 / $143.05 / $252.28	Professional		$85.08	$143.05	$252.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.31 / $36.56 / $67.50	Professional	26	$22.31	$36.56	$67.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.77 / $104.72 / $186.83	Professional	TC	$62.77	$104.72	$186.83
United Facility/Professional Professional Modifier Low / Median / High Price $106.03 / $155.22 / $242.30	Professional		$106.03	$155.22	$242.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.68 / $39.52 / $64.04	Professional	26	$27.68	$39.52	$64.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.34 / $116.41 / $178.26	Professional	TC	$78.34	$116.41	$178.26