Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.51 / $61.16 / $79.31	Facility	26	$49.51	$61.16	$79.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.88 / $153.91 / $232.58	Professional		$116.88	$153.91	$232.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $58.67 / $85.12	Professional	26	$40.90	$58.67	$85.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.51 / $96.85 / $150.71	Professional	TC	$74.51	$96.85	$150.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $142.69 / $195.64	Professional		$100.78	$142.69	$195.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.12 / $51.76 / $72.80	Professional	26	$44.12	$51.76	$72.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $89.33 / $89.33 / $99.98	Professional	TC	$89.33	$89.33	$99.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.21 / $180.78 / $262.70	Professional		$163.21	$180.78	$262.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.12 / $70.81 / $91.89	Professional	26	$55.12	$70.81	$91.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.22 / $114.73 / $172.61	Professional	TC	$100.22	$114.73	$172.61
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $43.03 / $46.18 / $101.27	Professional	26	$43.03	$46.18	$101.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $137.16 / $237.00	Professional		$78.84	$137.16	$237.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.34 / $51.42 / $90.58	Professional	26	$29.34	$51.42	$90.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.50 / $84.59 / $152.38	Professional	TC	$49.50	$84.59	$152.38
United Facility/Professional Professional Modifier Low / Median / High Price $106.26 / $142.55 / $224.97	Professional		$106.26	$142.55	$224.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.63 / $50.90 / $82.06	Professional	26	$35.63	$50.90	$82.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.90 / $91.28 / $160.37	Professional	TC	$65.90	$91.28	$160.37