Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.80 / $61.61 / $70.64	Facility	26	$48.80	$61.61	$70.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $180.48 / $266.33	Professional		$133.50	$180.48	$266.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.85 / $55.87 / $77.25	Professional	26	$40.85	$55.87	$77.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.92 / $124.60 / $193.59	Professional	TC	$93.92	$124.60	$193.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.42 / $146.19 / $146.19	Professional		$108.42	$146.19	$146.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.88 / $49.20 / $86.89	Professional	26	$43.88	$49.20	$86.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.36 / $226.23 / $263.33	Professional		$197.36	$226.23	$263.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.86 / $70.95 / $84.43	Professional	26	$63.86	$70.95	$84.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $133.11 / $157.08 / $181.69	Professional	TC	$133.11	$157.08	$181.69
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $42.78 / $45.86 / $49.98	Professional	26	$42.78	$45.86	$49.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $167.02 / $278.81	Professional		$92.71	$167.02	$278.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.18 / $52.48 / $88.30	Professional	26	$29.18	$52.48	$88.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.53 / $114.64 / $191.06	Professional	TC	$63.53	$114.64	$191.06
United Facility/Professional Professional Modifier Low / Median / High Price $125.06 / $171.79 / $308.02	Professional		$125.06	$171.79	$308.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.85 / $53.59 / $86.40	Professional	26	$38.85	$53.59	$86.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.21 / $120.54 / $182.97	Professional	TC	$86.21	$120.54	$182.97