Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.42 / $42.78 / $55.83	Facility	26	$37.42	$42.78	$55.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.43 / $134.08 / $210.25	Professional		$101.43	$134.08	$210.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.60 / $40.72 / $66.31	Professional	26	$28.60	$40.72	$66.31
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $41.80 / $67.04 / $73.29	Professional	52	$41.80	$67.04	$73.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.34 / $93.37 / $147.24	Professional	TC	$73.34	$93.37	$147.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.90 / $108.57 / $170.63	Professional		$87.90	$108.57	$170.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.18 / $34.43 / $60.79	Professional	26	$24.18	$34.43	$60.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $97.69 / $97.69 / $97.69	Professional	TC	$97.69	$97.69	$97.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.96 / $157.96 / $226.93	Professional		$142.96	$157.96	$226.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.40 / $49.11 / $63.86	Professional	26	$38.40	$49.11	$63.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.34 / $111.69 / $163.77	Professional	TC	$95.34	$111.69	$163.77
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $29.92 / $33.51 / $89.65	Professional	26	$29.92	$33.51	$89.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.77 / $114.20 / $198.85	Professional		$68.77	$114.20	$198.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.39 / $35.79 / $62.69	Professional	26	$20.39	$35.79	$62.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.37 / $78.08 / $138.47	Professional	TC	$48.37	$78.08	$138.47
United Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $121.47 / $195.98	Professional		$87.42	$121.47	$195.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.04 / $35.36 / $56.59	Professional	26	$25.04	$35.36	$56.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.60 / $88.94 / $136.46	Professional	TC	$62.60	$88.94	$136.46