Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $146.05 / $250.00 / $250.00	Facility	26	$146.05	$250.00	$250.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $250.00 / $265.00	Professional	26	$90.00	$250.00	$265.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $142.25 / $142.25 / $142.25	Professional	26	$142.25	$142.25	$142.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $110.99 / $130.91 / $168.19	Professional	26	$110.99	$130.91	$168.19
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $79.20 / $79.20 / $79.20	Professional	26	$79.20	$79.20	$79.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.90 / $88.05 / $185.51	Professional	26	$56.90	$88.05	$185.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.18 / $96.69 / $159.52	Professional	26	$75.18	$96.69	$159.52