Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.08 / $47.44 / $53.66	Facility	26	$37.08	$47.44	$53.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.63 / $146.44 / $229.39	Professional		$107.63	$146.44	$229.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.71 / $43.08 / $58.61	Professional	26	$32.71	$43.08	$58.61
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.51 / $25.71 / $622.50	Professional	52	$21.51	$25.71	$622.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.95 / $103.37 / $160.22	Professional	TC	$77.95	$103.37	$160.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $112.80 / $129.29	Professional		$34.04	$112.80	$129.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.29 / $33.83 / $66.98	Professional	26	$33.29	$33.83	$66.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.93 / $182.30 / $209.57	Professional		$158.93	$182.30	$209.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.78 / $55.23 / $65.83	Professional	26	$48.78	$55.23	$65.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $103.40 / $129.44 / $145.07	Professional	TC	$103.40	$129.44	$145.07
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $33.00 / $34.65 / $38.24	Professional	26	$33.00	$34.65	$38.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.01 / $134.66 / $225.61	Professional		$75.01	$134.66	$225.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.50 / $39.59 / $67.67	Professional	26	$22.50	$39.59	$67.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.52 / $94.76 / $157.94	Professional	TC	$52.52	$94.76	$157.94
United Facility/Professional Professional Modifier Low / Median / High Price $104.03 / $141.83 / $237.63	Professional		$104.03	$141.83	$237.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $40.56 / $66.52	Professional	26	$29.51	$40.56	$66.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.22 / $99.97 / $152.28	Professional	TC	$71.22	$99.97	$152.28