Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.52 / $97.43 / $107.17	Facility	26	$63.52	$97.43	$107.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.58 / $185.34 / $241.86	Professional		$137.58	$185.34	$241.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.67 / $89.98 / $107.17	Professional	26	$53.67	$89.98	$107.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.90 / $94.98 / $114.46	Professional	TC	$83.90	$94.98	$114.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.49 / $144.49 / $144.49	Professional		$144.49	$144.49	$144.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.22 / $66.41 / $72.22	Professional	26	$47.22	$66.41	$72.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.32 / $185.66 / $267.66	Professional		$144.32	$185.66	$267.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.66 / $92.59 / $115.27	Professional	26	$70.66	$92.59	$115.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.67 / $93.07 / $152.40	Professional	TC	$73.67	$93.07	$152.40
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $55.16 / $61.20 / $61.20	Professional	26	$55.16	$61.20	$61.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $135.46 / $279.83	Professional		$82.40	$135.46	$279.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.19 / $64.04 / $106.57	Professional	26	$41.19	$64.04	$106.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.21 / $67.75 / $142.07	Professional	TC	$41.21	$67.75	$142.07
United Facility/Professional Professional Modifier Low / Median / High Price $114.06 / $150.59 / $254.57	Professional		$114.06	$150.59	$254.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.71 / $67.13 / $105.02	Professional	26	$48.71	$67.13	$105.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.46 / $78.68 / $138.60	Professional	TC	$59.46	$78.68	$138.60