Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.44 / $35.44 / $35.44	Facility	26	$35.44	$35.44	$35.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.40 / $129.24 / $293.81	Professional		$89.40	$129.24	$293.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.01 / $40.36 / $71.00	Professional	26	$22.01	$40.36	$71.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.27 / $91.46 / $222.78	Professional	TC	$54.27	$91.46	$222.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.52 / $32.52 / $32.52	Professional	26	$32.52	$32.52	$32.52
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $84.00 / $84.00 / $93.82	Professional	TC	$84.00	$84.00	$93.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.35 / $144.47 / $177.35	Professional		$115.35	$144.47	$177.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.83 / $47.01 / $78.72	Professional	26	$41.83	$47.01	$78.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.36 / $70.36 / $134.80	Professional	TC	$59.36	$70.36	$134.80
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $31.70 / $31.70 / $31.70	Professional	26	$31.70	$31.70	$31.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $73.31 / $221.09	Professional		$48.60	$73.31	$221.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.26 / $29.84 / $70.30	Professional	26	$16.26	$29.84	$70.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.00 / $49.82 / $164.19	Professional	TC	$26.00	$49.82	$164.19
United Facility/Professional Professional Modifier Low / Median / High Price $54.69 / $123.41 / $230.91	Professional		$54.69	$123.41	$230.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.32 / $38.40 / $69.45	Professional	26	$22.32	$38.40	$69.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.60 / $76.01 / $161.44	Professional	TC	$29.60	$76.01	$161.44