Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.12 / $23.22 / $30.25	Facility	26	$19.12	$23.22	$30.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.50 / $108.45 / $164.56	Professional		$86.50	$108.45	$164.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.38 / $22.00 / $29.35	Professional	26	$16.38	$22.00	$29.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.59 / $85.92 / $137.05	Professional	TC	$68.59	$85.92	$137.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $75.79	Professional		$75.79	$75.79	$75.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $20.03 / $33.47	Professional	26	$16.98	$20.03	$33.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.98 / $123.23 / $146.63	Professional		$111.98	$123.23	$146.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.13 / $26.97 / $33.63	Professional	26	$21.13	$26.97	$33.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $90.84 / $96.26 / $114.55	Professional	TC	$90.84	$96.26	$114.55
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $16.55 / $17.46 / $18.55	Professional	26	$16.55	$17.46	$18.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.65 / $169.11	Professional		$56.23	$93.65	$169.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.29 / $19.39 / $34.36	Professional	26	$11.29	$19.39	$34.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $75.41 / $135.13	Professional	TC	$44.67	$75.41	$135.13
United Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $100.53 / $152.07	Professional		$66.98	$100.53	$152.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.23 / $20.32 / $31.33	Professional	26	$15.23	$20.32	$31.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.73 / $78.67 / $119.51	Professional	TC	$45.73	$78.67	$119.51