Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $64.57 / $117.49	Facility	26	$60.26	$64.57	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $316.23	Professional		$128.82	$169.82	$316.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $77.62 / $177.83	Professional	26	$54.95	$77.62	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $95.50 / $239.88	Professional	TC	$64.57	$95.50	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $66.07 / $100.00	Professional	26	$52.48	$66.07	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $234.42	Professional		$165.96	$194.98	$234.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $89.13 / $112.20	Professional	26	$75.86	$89.13	$112.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $104.71 / $117.49	Professional	TC	$89.13	$104.71	$117.49
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $66.07 / $67.61	Professional	26	$64.57	$66.07	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $331.13	Professional		$89.13	$158.49	$331.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $70.79 / $128.82	Professional	26	$41.69	$70.79	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $74.13 / $162.18	Professional	TC	$41.69	$74.13	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $331.13	Professional		$109.65	$165.96	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $72.44 / $102.33	Professional	26	$45.71	$72.44	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $83.18 / $218.78	Professional	TC	$53.70	$83.18	$218.78