Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.73 / $63.24 / $67.98	Facility	26	$55.73	$63.24	$67.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $170.83 / $231.60	Professional		$52.52	$170.83	$231.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.49 / $58.38 / $69.56	Professional	26	$36.49	$58.38	$69.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $112.44 / $168.34	Professional	TC	$16.03	$112.44	$168.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.09 / $31.09 / $31.09	Professional	26	$31.09	$31.09	$31.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.16 / $166.90 / $217.77	Professional		$95.16	$166.90	$217.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.91 / $60.18 / $78.62	Professional	26	$45.91	$60.18	$78.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.54 / $116.44 / $151.59	Professional	TC	$16.54	$116.44	$151.59
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $36.36 / $39.78 / $39.78	Professional	26	$36.36	$39.78	$39.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $126.17 / $188.98	Professional		$67.94	$126.17	$188.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.14 / $43.68 / $69.17	Professional	26	$27.14	$43.68	$69.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.28 / $87.44 / $124.44	Professional	TC	$19.28	$87.44	$124.44
United Facility/Professional Professional Modifier Low / Median / High Price $43.22 / $115.69 / $193.15	Professional		$43.22	$115.69	$193.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.65 / $44.86 / $68.64	Professional	26	$32.65	$44.86	$68.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.69 / $72.45 / $125.81	Professional	TC	$8.69	$72.45	$125.81