Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.80 / $51.89 / $67.34	Facility	26	$41.80	$51.89	$67.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.45 / $124.43 / $189.34	Professional		$92.45	$124.43	$189.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.33 / $49.78 / $81.26	Professional	26	$35.33	$49.78	$81.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.82 / $74.31 / $118.51	Professional	TC	$56.82	$74.31	$118.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $115.33 / $159.05	Professional		$81.59	$115.33	$159.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.09 / $43.95 / $61.92	Professional	26	$37.09	$43.95	$61.92
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $78.53 / $78.53 / $78.53	Professional	TC	$78.53	$78.53	$78.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.76 / $146.77 / $209.44	Professional		$118.76	$146.77	$209.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.10 / $60.65 / $79.45	Professional	26	$48.10	$60.65	$79.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.66 / $89.85 / $131.54	Professional	TC	$70.66	$89.85	$131.54
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $36.60 / $40.22 / $75.28	Professional	26	$36.60	$40.22	$75.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.83 / $105.27 / $189.81	Professional		$63.83	$105.27	$189.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.96 / $44.34 / $76.72	Professional	26	$24.96	$44.34	$76.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.86 / $63.26 / $117.89	Professional	TC	$38.86	$63.26	$117.89
United Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $115.13 / $183.11	Professional		$80.23	$115.13	$183.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.58 / $43.31 / $69.30	Professional	26	$30.58	$43.31	$69.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.62 / $69.67 / $111.71	Professional	TC	$50.62	$69.67	$111.71