Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $97.72 / $107.15	Facility	26	$64.57	$97.72	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $812.83	Professional		$112.20	$181.97	$812.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $97.72 / $851.14	Professional	26	$53.70	$97.72	$851.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $72.44 / $131.83	Professional	TC	$51.29	$72.44	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $104.71 / $190.55	Professional		$93.33	$104.71	$190.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $58.88 / $74.13	Professional	26	$46.77	$58.88	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $208.93	Professional		$144.54	$181.97	$208.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $89.13 / $104.71	Professional	26	$70.79	$89.13	$104.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $91.20 / $104.71	Professional	TC	$74.13	$91.20	$104.71
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $61.66 / $61.66	Professional	26	$39.81	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $281.84	Professional		$87.10	$147.91	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $70.79 / $107.15	Professional	26	$42.66	$70.79	$107.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $74.13 / $147.91	Professional	TC	$44.67	$74.13	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $213.80	Professional		$109.65	$147.91	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $63.10 / $95.50	Professional	26	$50.12	$63.10	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $75.86 / $128.82	Professional	TC	$57.54	$75.86	$128.82