Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.13 / $116.13 / $116.13	Facility		$116.13	$116.13	$116.13
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.85 / $40.85 / $40.85	Facility	26	$40.85	$40.85	$40.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.16 / $134.79 / $673.94	Professional		$75.16	$134.79	$673.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.09 / $55.99 / $213.31	Professional	26	$37.09	$55.99	$213.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.75 / $83.86 / $366.15	Professional	TC	$49.75	$83.86	$366.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.50 / $43.87 / $85.22	Professional	26	$37.50	$43.87	$85.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.99 / $142.93 / $176.66	Professional		$106.99	$142.93	$176.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.71 / $54.48 / $102.73	Professional	26	$38.71	$54.48	$102.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.28 / $88.39 / $95.14	Professional	TC	$68.28	$88.39	$95.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $104.14 / $104.14 / $118.06	Facility		$104.14	$104.14	$118.06
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $36.57 / $36.57 / $36.57	Professional	26	$36.57	$36.57	$36.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $65.67 / $243.56	Professional		$52.54	$65.67	$243.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.75 / $37.79 / $81.11	Professional	26	$18.75	$37.79	$81.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.57 / $37.64 / $162.08	Professional	TC	$28.57	$37.64	$162.08
United Facility/Professional Professional Modifier Low / Median / High Price $69.58 / $127.40 / $229.39	Professional		$69.58	$127.40	$229.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.42 / $52.84 / $82.77	Professional	26	$26.42	$52.84	$82.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.74 / $79.11 / $148.02	Professional	TC	$34.74	$79.11	$148.02