Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $50.12 / $64.57	Facility	26	$44.67	$50.12	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $131.83 / $281.84	Professional		$52.48	$131.83	$281.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $42.66 / $102.33	Professional	26	$32.36	$42.66	$102.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $93.33 / $162.18	Professional	TC	$70.79	$93.33	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $134.90	Professional		$87.10	$97.72	$134.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $36.31 / $60.26	Professional	26	$28.84	$36.31	$60.26
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $64.57 / $75.86	Professional	TC	$61.66	$64.57	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $190.55	Professional		$144.54	$169.82	$190.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $56.23 / $64.57	Professional	26	$46.77	$56.23	$64.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $114.82 / $125.89	Professional	TC	$97.72	$114.82	$125.89
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $38.90 / $40.74	Professional	26	$37.15	$38.90	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $251.19	Professional		$85.11	$128.82	$251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $42.66 / $75.86	Professional	26	$26.92	$42.66	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $89.13 / $169.82	Professional	TC	$54.95	$89.13	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $208.93	Professional		$102.33	$134.90	$208.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $41.69 / $63.10	Professional	26	$31.62	$41.69	$63.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $91.20 / $141.25	Professional	TC	$67.61	$91.20	$141.25