Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.00 / $66.00 / $117.92	Facility	26	$60.00	$66.00	$117.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.21 / $284.91 / $307.52	Professional		$147.21	$284.91	$307.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $60.00 / $106.50	Professional	26	$51.30	$60.00	$106.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.78 / $140.52 / $240.00	Professional	TC	$71.78	$140.52	$240.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.01 / $72.63 / $157.46	Professional	26	$57.01	$72.63	$157.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $200.04 / $240.55	Professional		$166.05	$200.04	$240.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.15 / $93.77 / $123.31	Professional	26	$76.15	$93.77	$123.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.94 / $105.76 / $126.50	Professional	TC	$95.94	$105.76	$126.50
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $63.09 / $63.63 / $66.39	Professional	26	$63.09	$63.63	$66.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.67 / $139.97 / $332.81	Professional		$75.67	$139.97	$332.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.08 / $67.70 / $129.47	Professional	26	$42.08	$67.70	$129.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.61 / $66.06 / $142.50	Professional	TC	$32.61	$66.06	$142.50
United Facility/Professional Professional Modifier Low / Median / High Price $100.61 / $165.11 / $331.32	Professional		$100.61	$165.11	$331.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.06 / $75.79 / $106.11	Professional	26	$46.06	$75.79	$106.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.93 / $85.74 / $218.84	Professional	TC	$54.93	$85.74	$218.84