Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.02 / $250.00 / $250.00	Facility	26	$129.02	$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 $127.84 / $127.84 / $127.84	Professional	26	$127.84	$127.84	$127.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.46 / $125.69 / $166.70	Professional	26	$107.46	$125.69	$166.70
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $75.50 / $79.66 / $79.66	Professional	26	$75.50	$79.66	$79.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.24 / $86.09 / $184.20	Professional	26	$54.24	$86.09	$184.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.23 / $97.66 / $160.36	Professional	26	$77.23	$97.66	$160.36