Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.68 / $52.66 / $59.22	Facility	26	$46.68	$52.66	$59.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.62 / $328.70 / $450.52	Professional		$229.62	$328.70	$450.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.75 / $50.52 / $61.61	Professional	26	$36.75	$50.52	$61.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.87 / $276.93 / $388.90	Professional	TC	$192.87	$276.93	$388.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.89 / $41.89 / $41.89	Professional	26	$41.89	$41.89	$41.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.72 / $333.26 / $463.43	Professional		$304.72	$333.26	$463.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.57 / $59.90 / $77.40	Professional	26	$50.57	$59.90	$77.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $258.06 / $295.23 / $384.49	Professional	TC	$258.06	$295.23	$384.49
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $36.40 / $189.59 / $189.59	Professional	26	$36.40	$189.59	$189.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.46 / $253.93 / $496.96	Professional		$152.46	$253.93	$496.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.84 / $41.36 / $84.20	Professional	26	$24.84	$41.36	$84.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $127.62 / $215.05 / $412.76	Professional	TC	$127.62	$215.05	$412.76
United Facility/Professional Professional Modifier Low / Median / High Price $184.07 / $291.22 / $404.71	Professional		$184.07	$291.22	$404.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.01 / $45.01 / $70.97	Professional	26	$36.01	$45.01	$70.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.91 / $246.46 / $348.56	Professional	TC	$138.91	$246.46	$348.56