Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.59 / $73.06 / $83.19	Facility	26	$63.59	$73.06	$83.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $197.24 / $294.18	Professional		$162.22	$197.24	$294.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $69.54 / $86.02	Professional	26	$51.54	$69.54	$86.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.68 / $127.69 / $208.15	Professional	TC	$110.68	$127.69	$208.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.42 / $58.42 / $58.42	Professional	26	$58.42	$58.42	$58.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.21 / $226.51 / $314.00	Professional		$203.21	$226.51	$314.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.26 / $83.76 / $107.65	Professional	26	$71.26	$83.76	$107.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $134.88 / $154.16 / $206.35	Professional	TC	$134.88	$154.16	$206.35
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $50.80 / $50.80 / $50.80	Professional	26	$50.80	$50.80	$50.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.16 / $174.45 / $342.55	Professional		$103.16	$174.45	$342.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.65 / $57.28 / $117.60	Professional	26	$34.65	$57.28	$117.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.50 / $113.83 / $241.42	Professional	TC	$68.50	$113.83	$241.42
United Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $198.79 / $316.54	Professional		$155.22	$198.79	$316.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.15 / $61.62 / $100.09	Professional	26	$47.15	$61.62	$100.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.57 / $126.83 / $190.72	Professional	TC	$86.57	$126.83	$190.72