Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.07 / $22.64 / $60.00	Facility	26	$12.07	$22.64	$60.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $300.00 / $320.00	Professional		$77.54	$300.00	$320.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $60.00 / $64.00	Professional	26	$10.02	$60.00	$64.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.75 / $240.00 / $240.00	Professional	TC	$67.75	$240.00	$240.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $10.97 / $10.97	Professional	26	$9.52	$10.97	$10.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.98 / $149.41 / $177.80	Professional		$120.98	$149.41	$177.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.81 / $17.73 / $22.01	Professional	26	$13.81	$17.73	$22.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.69 / $136.93 / $159.34	Professional	TC	$89.69	$136.93	$159.34
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $10.69 / $10.69 / $11.23	Professional	26	$10.69	$10.69	$11.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.56 / $112.29 / $218.96	Professional		$60.56	$112.29	$218.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.68 / $12.81 / $23.64	Professional	26	$7.68	$12.81	$23.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.89 / $96.23 / $195.27	Professional	TC	$52.89	$96.23	$195.27
United Facility/Professional Professional Modifier Low / Median / High Price $82.30 / $124.21 / $218.53	Professional		$82.30	$124.21	$218.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $12.63 / $21.27	Professional	26	$9.69	$12.63	$21.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.50 / $109.41 / $216.87	Professional	TC	$72.50	$109.41	$216.87