Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $60.26 / $64.57	Facility	26	$14.79	$60.26	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $302.00	Professional		$75.86	$104.71	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.13 / $60.26	Professional	26	$10.00	$14.13	$60.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $91.20 / $239.88	Professional	TC	$63.10	$91.20	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $9.55 / $10.72	Professional	26	$8.91	$9.55	$10.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $162.18	Professional		$120.23	$147.91	$162.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.22 / $20.42	Professional	26	$12.88	$16.22	$20.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $131.83 / $141.25	Professional	TC	$102.33	$131.83	$141.25
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $11.22 / $39.81	Professional	26	$10.96	$11.22	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $245.47	Professional		$70.79	$112.20	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.02 / $23.99	Professional	26	$8.32	$12.02	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $97.72 / $213.80	Professional	TC	$60.26	$97.72	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $208.93	Professional		$83.18	$123.03	$208.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $12.59 / $19.95	Professional	26	$9.55	$12.59	$19.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $107.15 / $181.97	Professional	TC	$72.44	$107.15	$181.97