Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $61.66 / $79.43	Facility	26	$54.95	$61.66	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $338.84	Professional		$123.03	$169.82	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $51.29 / $147.91	Professional	26	$39.81	$51.29	$147.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $120.23 / $208.93	Professional	TC	$91.20	$120.23	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.03 / $169.82	Professional		$112.20	$123.03	$169.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $39.81 / $67.61	Professional	26	$35.48	$39.81	$67.61
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $91.20 / $93.33	Professional	TC	$83.18	$91.20	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $251.19	Professional		$181.97	$218.78	$251.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $69.18 / $79.43	Professional	26	$57.54	$69.18	$79.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $147.91 / $173.78	Professional	TC	$125.89	$147.91	$173.78
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $47.86 / $50.12	Professional	26	$45.71	$47.86	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $316.23	Professional		$107.15	$162.18	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $52.48 / $93.33	Professional	26	$33.11	$52.48	$93.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $114.82 / $218.78	Professional	TC	$70.79	$114.82	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $263.03	Professional		$128.82	$169.82	$263.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $51.29 / $77.62	Professional	26	$38.90	$51.29	$77.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $117.49 / $177.83	Professional	TC	$87.10	$117.49	$177.83