Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.18 / $61.65 / $78.80	Facility	26	$49.18	$61.65	$78.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.99 / $135.19 / $229.37	Professional		$101.99	$135.19	$229.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.04 / $57.55 / $85.12	Professional	26	$39.04	$57.55	$85.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.89 / $77.81 / $120.84	Professional	TC	$59.89	$77.81	$120.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.92 / $124.19 / $170.66	Professional		$87.92	$124.19	$170.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.21 / $50.42 / $61.18	Professional	26	$43.21	$50.42	$61.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $71.51 / $71.51 / $80.06	Professional	TC	$71.51	$71.51	$80.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.53 / $157.11 / $227.32	Professional		$144.53	$157.11	$227.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.12 / $70.37 / $91.25	Professional	26	$55.12	$70.37	$91.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.97 / $93.58 / $137.86	Professional	TC	$79.97	$93.58	$137.86
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $42.75 / $45.86 / $84.25	Professional	26	$42.75	$45.86	$84.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.78 / $114.52 / $213.53	Professional		$68.78	$114.52	$213.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.15 / $51.42 / $90.58	Professional	26	$29.15	$51.42	$90.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.63 / $65.87 / $123.56	Professional	TC	$39.63	$65.87	$123.56
United Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $124.51 / $197.62	Professional		$91.80	$124.51	$197.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.69 / $51.37 / $81.43	Professional	26	$35.69	$51.37	$81.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.03 / $72.95 / $129.69	Professional	TC	$53.03	$72.95	$129.69