Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.45 / $50.44 / $57.11	Facility	26	$39.45	$50.44	$57.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.86 / $143.57 / $223.20	Professional		$103.86	$143.57	$223.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.04 / $45.79 / $62.47	Professional	26	$33.04	$45.79	$62.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.67 / $97.78 / $151.87	Professional	TC	$73.67	$97.78	$151.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.09 / $110.75 / $126.42	Professional		$86.09	$110.75	$126.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.19 / $38.85 / $59.82	Professional	26	$35.19	$38.85	$59.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.99 / $178.73 / $205.93	Professional		$155.99	$178.73	$205.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.97 / $57.74 / $68.70	Professional	26	$51.97	$57.74	$68.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $103.78 / $122.43 / $137.22	Professional	TC	$103.78	$122.43	$137.22
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $34.84 / $37.27 / $40.72	Professional	26	$34.84	$37.27	$40.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.65 / $131.69 / $221.50	Professional		$73.65	$131.69	$221.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.76 / $42.58 / $71.77	Professional	26	$23.76	$42.58	$71.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.88 / $90.02 / $150.03	Professional	TC	$49.88	$90.02	$150.03
United Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $141.68 / $247.40	Professional		$99.41	$141.68	$247.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.28 / $43.22 / $70.51	Professional	26	$31.28	$43.22	$70.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.42 / $94.56 / $143.58	Professional	TC	$67.42	$94.56	$143.58