Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.22 / $46.25 / $60.33	Facility	26	$37.22	$46.25	$60.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.67 / $105.57 / $185.20	Professional		$80.67	$105.57	$185.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.95 / $44.02 / $74.22	Professional	26	$30.95	$44.02	$74.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.35 / $62.50 / $97.66	Professional	TC	$48.35	$62.50	$97.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.78 / $134.29	Professional		$69.18	$97.78	$134.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.72 / $38.17 / $46.33	Professional	26	$32.72	$38.17	$46.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $64.73 / $64.73 / $64.73	Professional	TC	$64.73	$64.73	$64.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.55 / $123.90 / $182.76	Professional		$112.55	$123.90	$182.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.89 / $53.63 / $69.78	Professional	26	$41.89	$53.63	$69.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.69 / $73.89 / $113.85	Professional	TC	$64.69	$73.89	$113.85
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $36.51 / $63.34	Professional	26	$32.36	$36.51	$63.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.12 / $94.67 / $167.28	Professional		$54.12	$94.67	$167.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.07 / $39.13 / $68.00	Professional	26	$22.07	$39.13	$68.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.04 / $56.07 / $98.33	Professional	TC	$32.04	$56.07	$98.33
United Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $97.44 / $154.31	Professional		$73.09	$97.44	$154.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.63 / $38.25 / $62.04	Professional	26	$26.63	$38.25	$62.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.52 / $58.63 / $91.26	Professional	TC	$42.52	$58.63	$91.26