Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.03 / $43.03 / $43.03	Facility	26	$43.03	$43.03	$43.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $132.77 / $883.35	Professional		$74.94	$132.77	$883.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.68 / $48.83 / $311.60	Professional	26	$26.68	$48.83	$311.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.26 / $85.57 / $571.69	Professional	TC	$48.26	$85.57	$571.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.58 / $260.58 / $260.58	Professional		$260.58	$260.58	$260.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.31 / $39.31 / $92.37	Professional	26	$39.31	$39.31	$92.37
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $63.30 / $63.30 / $63.30	Professional	TC	$63.30	$63.30	$63.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.81 / $157.66 / $238.21	Professional		$110.81	$157.66	$238.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.66 / $57.38 / $98.12	Professional	26	$41.66	$57.38	$98.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.15 / $100.29 / $140.09	Professional	TC	$69.15	$100.29	$140.09
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $38.27 / $38.27 / $38.27	Professional	26	$38.27	$38.27	$38.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $96.30 / $241.56	Professional		$51.30	$96.30	$241.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.66 / $40.20 / $85.17	Professional	26	$19.66	$40.20	$85.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.65 / $54.68 / $156.38	Professional	TC	$31.65	$54.68	$156.38
United Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $142.12 / $247.72	Professional		$77.52	$142.12	$247.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.94 / $51.22 / $90.01	Professional	26	$27.94	$51.22	$90.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.32 / $90.90 / $166.10	Professional	TC	$47.32	$90.90	$166.10