Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.26 / $39.36 / $51.42	Facility	26	$35.26	$39.36	$51.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.63 / $114.74 / $176.94	Professional		$81.63	$114.74	$176.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.55 / $37.11 / $63.33	Professional	26	$26.55	$37.11	$63.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.46 / $80.55 / $120.58	Professional	TC	$49.46	$80.55	$120.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $87.83 / $92.13	Professional		$46.07	$87.83	$92.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.23 / $28.21 / $47.24	Professional	26	$22.23	$28.21	$47.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.02 / $122.38 / $153.15	Professional		$104.02	$122.38	$153.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.17 / $45.12 / $58.79	Professional	26	$35.17	$45.12	$58.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.89 / $78.89 / $107.33	Professional	TC	$64.89	$78.89	$107.33
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $27.51 / $31.15 / $65.04	Professional	26	$27.51	$31.15	$65.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.41 / $97.33 / $176.35	Professional		$58.41	$97.33	$176.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $32.65 / $55.94	Professional	26	$18.76	$32.65	$55.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.76 / $65.73 / $119.25	Professional	TC	$38.76	$65.73	$119.25
United Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $104.70 / $167.69	Professional		$73.70	$104.70	$167.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.54 / $32.47 / $52.94	Professional	26	$23.54	$32.47	$52.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.70 / $70.63 / $112.93	Professional	TC	$47.70	$70.63	$112.93