Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.50 / $140.00 / $706.82	Facility		$40.50	$140.00	$706.82
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.40 / $39.21 / $51.13	Facility	26	$31.40	$39.21	$51.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.27 / $68.02 / $201.18	Professional		$48.27	$68.02	$201.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.26 / $36.03 / $51.00	Professional	26	$26.26	$36.03	$51.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.03 / $29.48 / $170.38	Professional	TC	$23.03	$29.48	$170.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.93 / $32.86 / $47.48	Professional	26	$27.93	$32.86	$47.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $81.95 / $239.18	Facility		$37.36	$81.95	$239.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.39 / $73.55 / $232.42	Professional		$65.39	$73.55	$232.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.06 / $38.96 / $58.63	Professional	26	$35.06	$38.96	$58.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.65 / $33.70 / $194.82	Professional	TC	$28.65	$33.70	$194.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $31.76 / $52.41 / $55.17	Facility		$31.76	$52.41	$55.17
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $27.59 / $30.98 / $31.76	Professional	26	$27.59	$30.98	$31.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $63.78 / $176.01	Professional		$35.34	$63.78	$176.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.84 / $33.11 / $56.65	Professional	26	$18.84	$33.11	$56.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.51 / $26.89 / $132.91	Professional	TC	$16.51	$26.89	$132.91
United Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $65.23 / $191.04	Professional		$46.32	$65.23	$191.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.58 / $32.89 / $54.99	Professional	26	$24.58	$32.89	$54.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.01 / $27.57 / $159.00	Professional	TC	$20.01	$27.57	$159.00