Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $41.69 / $48.98	Facility	26	$38.02	$41.69	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $239.88	Professional		$85.11	$123.03	$239.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $41.69 / $112.20	Professional	26	$26.92	$41.69	$112.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $81.28 / $144.54	Professional	TC	$57.54	$81.28	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $114.82	Professional		$67.61	$83.18	$114.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $26.30 / $40.74	Professional	26	$24.55	$26.30	$40.74
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $56.23 / $72.44	Professional	TC	$26.30	$56.23	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $194.98	Professional		$109.65	$128.82	$194.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $42.66 / $57.54	Professional	26	$35.48	$42.66	$57.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $87.10 / $131.83	Professional	TC	$74.13	$87.10	$131.83
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $39.81 / $79.43	Professional	26	$30.90	$39.81	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $190.55	Professional		$72.44	$107.15	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $35.48 / $66.07	Professional	26	$22.91	$35.48	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $70.79 / $131.83	Professional	TC	$47.86	$70.79	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $165.96	Professional		$81.28	$107.15	$165.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $33.88 / $52.48	Professional	26	$25.70	$33.88	$52.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $72.44 / $114.82	Professional	TC	$53.70	$72.44	$114.82