Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.44 / $59.85 / $65.83	Facility	26	$39.44	$59.85	$65.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.22 / $389.20 / $459.38	Professional		$171.22	$389.20	$459.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.35 / $55.29 / $65.83	Professional	26	$30.35	$55.29	$65.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.87 / $333.91 / $399.82	Professional	TC	$140.87	$333.91	$399.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $296.93 / $296.93 / $296.93	Professional		$296.93	$296.93	$296.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.25 / $41.24 / $57.73	Professional	26	$29.25	$41.24	$57.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.95 / $386.18 / $480.33	Professional		$303.95	$386.18	$480.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.91 / $56.55 / $66.37	Professional	26	$43.91	$56.55	$66.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $260.04 / $328.67 / $415.26	Professional	TC	$260.04	$328.67	$415.26
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $34.22 / $37.63 / $37.63	Professional	26	$34.22	$37.63	$37.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.34 / $253.29 / $430.56	Professional		$169.34	$253.29	$430.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.55 / $39.26 / $65.45	Professional	26	$25.55	$39.26	$65.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.80 / $216.70 / $369.39	Professional	TC	$143.80	$216.70	$369.39
United Facility/Professional Professional Modifier Low / Median / High Price $146.83 / $254.97 / $438.62	Professional		$146.83	$254.97	$438.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.46 / $38.61 / $64.95	Professional	26	$28.46	$38.61	$64.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $119.57 / $220.21 / $373.67	Professional	TC	$119.57	$220.21	$373.67