Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.78 / $171.95 / $185.70	Facility	26	$112.78	$171.95	$185.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.81 / $200.88 / $237.47	Professional		$179.81	$200.88	$237.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.92 / $158.80 / $189.14	Professional	26	$90.92	$158.80	$189.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.67 / $66.15 / $100.62	Professional	TC	$35.67	$66.15	$100.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $220.32 / $220.32 / $220.32	Professional		$220.32	$220.32	$220.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.74 / $117.91 / $128.15	Professional	26	$83.74	$117.91	$128.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.35 / $214.68 / $277.55	Professional		$165.35	$214.68	$277.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $124.84 / $163.58 / $195.29	Professional	26	$124.84	$163.58	$195.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.51 / $45.99 / $82.26	Professional	TC	$40.51	$45.99	$82.26
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $97.89 / $107.97 / $107.97	Professional	26	$97.89	$107.97	$107.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.48 / $154.19 / $305.00	Professional		$97.48	$154.19	$305.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.09 / $110.43 / $188.07	Professional	26	$73.09	$110.43	$188.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.38 / $34.29 / $73.20	Professional	TC	$23.38	$34.29	$73.20
United Facility/Professional Professional Modifier Low / Median / High Price $119.81 / $170.16 / $490.36	Professional		$119.81	$170.16	$490.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.07 / $122.54 / $186.60	Professional	26	$85.07	$122.54	$186.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.38 / $38.84 / $363.43	Professional	TC	$23.38	$38.84	$363.43