Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $46.77 / $60.26	Facility	26	$41.69	$46.77	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $229.09	Professional		$69.18	$104.71	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $48.98 / $114.82	Professional	26	$30.90	$48.98	$114.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $51.29 / $97.72	Professional	TC	$38.02	$51.29	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $112.20	Professional		$57.54	$69.18	$112.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $36.31 / $51.29	Professional	26	$28.84	$36.31	$51.29
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $48.98 / $70.79	Professional	TC	$32.36	$48.98	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $151.36	Professional		$104.71	$114.82	$151.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $54.95 / $67.61	Professional	26	$46.77	$54.95	$67.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $61.66 / $81.28	Professional	TC	$56.23	$61.66	$81.28
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $39.81 / $63.10	Professional	26	$33.88	$39.81	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $169.82	Professional		$57.54	$89.13	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $40.74 / $74.13	Professional	26	$25.70	$40.74	$74.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $48.98 / $102.33	Professional	TC	$30.90	$48.98	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $141.25	Professional		$67.61	$89.13	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $38.90 / $58.88	Professional	26	$28.84	$38.90	$58.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $48.98 / $79.43	Professional	TC	$37.15	$48.98	$79.43