Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $72.44 / $93.33	Facility	26	$64.57	$72.44	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $295.12	Professional		$117.49	$186.21	$295.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $61.66 / $134.90	Professional	26	$37.15	$61.66	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $125.89 / $169.82	Professional	TC	$79.43	$125.89	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $42.66 / $97.72	Professional	26	$41.69	$42.66	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $251.19	Professional		$199.53	$229.09	$251.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $83.18 / $93.33	Professional	26	$64.57	$83.18	$93.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $141.25 / $158.49	Professional	TC	$131.83	$141.25	$158.49
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $51.29 / $53.70	Professional	26	$39.81	$51.29	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $186.21 / $338.84	Professional		$102.33	$186.21	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $63.10 / $117.49	Professional	26	$34.67	$63.10	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $123.03 / $239.88	Professional	TC	$69.18	$123.03	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $263.03	Professional		$144.54	$194.98	$263.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $60.26 / $89.13	Professional	26	$48.98	$60.26	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $123.03 / $181.97	Professional	TC	$91.20	$123.03	$181.97