Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.35 / $39.89 / $52.50	Facility	26	$32.35	$39.89	$52.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.52 / $92.70 / $141.29	Professional		$68.52	$92.70	$141.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.13 / $38.27 / $65.84	Professional	26	$27.13	$38.27	$65.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.72 / $55.35 / $86.65	Professional	TC	$42.72	$55.35	$86.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.86 / $86.07 / $118.14	Professional		$60.86	$86.07	$118.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.38 / $32.35 / $40.21	Professional	26	$28.38	$32.35	$40.21
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $51.34 / $51.34 / $51.34	Professional	TC	$51.34	$51.34	$51.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $108.30 / $162.19	Professional		$99.39	$108.30	$162.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.74 / $46.10 / $59.63	Professional	26	$35.74	$46.10	$59.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.86 / $69.51 / $103.75	Professional	TC	$56.86	$69.51	$103.75
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $28.10 / $31.81 / $61.40	Professional	26	$28.10	$31.81	$61.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.61 / $82.49 / $142.94	Professional		$47.61	$82.49	$142.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.16 / $33.81 / $57.63	Professional	26	$19.16	$33.81	$57.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.45 / $51.33 / $88.24	Professional	TC	$28.45	$51.33	$88.24
United Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $85.53 / $148.69	Professional		$64.15	$85.53	$148.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.53 / $33.20 / $54.27	Professional	26	$23.53	$33.20	$54.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.21 / $52.21 / $90.68	Professional	TC	$39.21	$52.21	$90.68