Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.55 / $60.55 / $60.55	Facility	26	$60.55	$60.55	$60.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $95.33 / $182.77	Professional		$57.79	$95.33	$182.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.65 / $65.16 / $191.66	Professional	26	$37.65	$65.16	$191.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.14 / $30.69 / $61.46	Professional	TC	$20.14	$30.69	$61.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.69 / $167.69 / $167.69	Professional		$167.69	$167.69	$167.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.69 / $55.69 / $55.69	Professional	26	$55.69	$55.69	$55.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $110.13 / $144.97	Professional		$77.59	$110.13	$144.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.06 / $72.68 / $111.26	Professional	26	$57.06	$72.68	$111.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.53 / $36.96 / $44.03	Professional	TC	$20.53	$36.96	$44.03
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $54.37 / $54.37 / $54.37	Professional	26	$54.37	$54.37	$54.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.26 / $54.37 / $184.26	Professional		$41.26	$54.37	$184.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.85 / $42.21 / $120.34	Professional	26	$27.85	$42.21	$120.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.95 / $16.36 / $52.15	Professional	TC	$12.95	$16.36	$52.15
United Facility/Professional Professional Modifier Low / Median / High Price $54.73 / $90.35 / $168.28	Professional		$54.73	$90.35	$168.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.76 / $65.47 / $120.65	Professional	26	$37.76	$65.47	$120.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.16 / $35.34 / $50.56	Professional	TC	$14.16	$35.34	$50.56