Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $52.48 / $398.11	Facility	26	$44.67	$52.48	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $309.03	Professional		$91.20	$141.25	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $57.54 / $154.88	Professional	26	$33.88	$57.54	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $74.13 / $128.82	Professional	TC	$52.48	$74.13	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $144.54	Professional		$70.79	$87.10	$144.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $38.90 / $52.48	Professional	26	$29.51	$38.90	$52.48
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $52.48 / $79.43	Professional	TC	$42.66	$52.48	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $144.54 / $181.97	Professional		$134.90	$144.54	$181.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $60.26 / $74.13	Professional	26	$52.48	$60.26	$74.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $85.11 / $109.65	Professional	TC	$77.62	$85.11	$109.65
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $41.69 / $75.86	Professional	26	$38.02	$41.69	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $199.53	Professional		$70.79	$104.71	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $44.67 / $81.28	Professional	26	$28.18	$44.67	$81.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $64.57 / $120.23	Professional	TC	$42.66	$64.57	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $162.18	Professional		$81.28	$109.65	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $42.66 / $66.07	Professional	26	$32.36	$42.66	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $67.61 / $104.71	Professional	TC	$50.12	$67.61	$104.71