Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.74 / $37.82 / $43.77	Facility	26	$33.74	$37.82	$43.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $142.69 / $232.80	Professional		$86.29	$142.69	$232.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.42 / $37.82 / $59.66	Professional	26	$23.42	$37.82	$59.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.86 / $104.87 / $181.74	Professional	TC	$62.86	$104.87	$181.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.54 / $149.54 / $149.54	Professional		$149.54	$149.54	$149.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.65 / $30.65 / $41.78	Professional	26	$30.65	$30.65	$41.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $150.19 / $158.19	Professional		$104.37	$150.19	$158.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $39.44 / $44.52	Professional	26	$29.51	$39.44	$44.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.86 / $110.75 / $117.59	Professional	TC	$74.86	$110.75	$117.59
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $29.88 / $29.88 / $40.00	Professional	26	$29.88	$29.88	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.36 / $62.49 / $209.81	Professional		$45.36	$62.49	$209.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.24 / $16.04 / $61.48	Professional	26	$13.24	$16.04	$61.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.53 / $43.74 / $160.66	Professional	TC	$32.53	$43.74	$160.66
United Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $100.06 / $184.65	Professional		$57.18	$100.06	$184.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $21.65 / $57.86	Professional	26	$15.85	$21.65	$57.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.01 / $62.58 / $146.02	Professional	TC	$41.01	$62.58	$146.02