Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $60.26 / $60.26	Facility	26	$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $173.78	Professional		$57.54	$95.50	$173.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $64.57 / $208.93	Professional	26	$43.65	$64.57	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $30.20 / $56.23	Professional	TC	$19.95	$30.20	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $165.96	Professional		$83.18	$83.18	$165.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $54.95 / $61.66	Professional	26	$54.95	$54.95	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $109.65 / $131.83	Professional		$107.15	$109.65	$131.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $72.44 / $87.10	Professional	26	$70.79	$72.44	$87.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $35.48 / $41.69	Professional	TC	$34.67	$35.48	$41.69
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $56.23 / $56.23	Professional	26	$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $151.36	Professional		$41.69	$54.95	$151.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $42.66 / $109.65	Professional	26	$27.54	$42.66	$109.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $18.20 / $46.77	Professional	TC	$12.88	$18.20	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $91.20 / $169.82	Professional		$52.48	$91.20	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $64.57 / $117.49	Professional	26	$38.02	$64.57	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $29.51 / $50.12	Professional	TC	$14.13	$29.51	$50.12