Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.64 / $41.11 / $53.49	Facility	26	$32.64	$41.11	$53.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $153.22 / $239.80	Professional		$115.16	$153.22	$239.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.71 / $37.19 / $50.67	Professional	26	$26.71	$37.19	$50.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.67 / $116.03 / $189.78	Professional	TC	$72.67	$116.03	$189.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.58 / $123.58 / $203.91	Professional		$123.58	$123.58	$203.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.57 / $35.22 / $73.36	Professional	26	$25.57	$35.22	$73.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.24 / $167.02 / $208.64	Professional		$143.24	$167.02	$208.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.60 / $41.78 / $60.98	Professional	26	$37.60	$41.78	$60.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $90.70 / $119.60 / $150.82	Professional	TC	$90.70	$119.60	$150.82
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $29.32 / $30.82 / $32.29	Professional	26	$29.32	$30.82	$32.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.73 / $170.64 / $255.95	Professional		$106.73	$170.64	$255.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.00 / $34.75 / $59.25	Professional	26	$20.00	$34.75	$59.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.38 / $136.15 / $210.84	Professional	TC	$73.38	$136.15	$210.84
United Facility/Professional Professional Modifier Low / Median / High Price $96.19 / $151.72 / $231.22	Professional		$96.19	$151.72	$231.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.72 / $34.29 / $54.87	Professional	26	$25.72	$34.29	$54.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.23 / $116.06 / $176.85	Professional	TC	$64.23	$116.06	$176.85