Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $35.48 / $35.48	Facility	26	$35.48	$35.48	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $275.42	Professional		$91.20	$128.82	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $42.66 / $239.88	Professional	26	$25.70	$42.66	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $93.33 / $213.80	Professional	TC	$63.10	$93.33	$213.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $36.31 / $36.31	Professional	26	$36.31	$36.31	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $177.83	Professional		$117.49	$169.82	$177.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $42.66 / $57.54	Professional	26	$41.69	$42.66	$57.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $125.89 / $134.90	Professional	TC	$69.18	$125.89	$134.90
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $33.11 / $33.11	Professional	26	$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $208.93	Professional		$50.12	$66.07	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $29.51 / $63.10	Professional	26	$16.22	$29.51	$63.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $47.86 / $154.88	Professional	TC	$25.70	$47.86	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $123.03 / $213.80	Professional		$54.95	$123.03	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $37.15 / $69.18	Professional	26	$22.39	$37.15	$69.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $81.28 / $162.18	Professional	TC	$29.51	$81.28	$162.18