Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.56 / $85.56 / $85.56	Facility	26	$85.56	$85.56	$85.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $130.99 / $226.91	Professional		$69.89	$130.99	$226.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.16 / $95.35 / $168.37	Professional	26	$53.16	$95.35	$168.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.73 / $30.69 / $69.09	Professional	TC	$16.73	$30.69	$69.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.21 / $234.21 / $234.21	Professional		$234.21	$234.21	$234.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.65 / $155.57 / $191.70	Professional		$135.65	$155.57	$191.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.80 / $104.73 / $124.04	Professional	26	$79.80	$104.73	$124.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.65 / $49.57 / $72.59	Professional	TC	$32.65	$49.57	$72.59
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $78.62 / $78.62 / $78.62	Professional	26	$78.62	$78.62	$78.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $72.98 / $233.07	Professional		$53.16	$72.98	$233.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.32 / $46.98 / $173.02	Professional	26	$40.32	$46.98	$173.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.84 / $27.49 / $60.05	Professional	TC	$12.84	$27.49	$60.05
United Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $121.12 / $235.48	Professional		$68.90	$121.12	$235.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.13 / $90.95 / $168.30	Professional	26	$51.13	$90.95	$168.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.02 / $32.04 / $82.50	Professional	TC	$16.02	$32.04	$82.50