Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.06 / $49.28 / $56.83	Facility	26	$43.06	$49.28	$56.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.34 / $187.24 / $314.82	Professional		$145.34	$187.24	$314.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.14 / $52.84 / $69.81	Professional	26	$48.14	$52.84	$69.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.82 / $139.10 / $250.03	Professional	TC	$96.82	$139.10	$250.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $240.81 / $240.81 / $240.81	Professional		$240.81	$240.81	$240.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.34 / $38.76 / $68.73	Professional	26	$20.34	$38.76	$68.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.35 / $199.50 / $225.48	Professional		$178.35	$199.50	$225.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.85 / $50.71 / $77.40	Professional	26	$49.85	$50.71	$77.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $92.52 / $148.09 / $158.91	Professional	TC	$92.52	$148.09	$158.91
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $37.79 / $37.79 / $40.00	Professional	26	$37.79	$37.79	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.12 / $83.85 / $282.67	Professional		$76.12	$83.85	$282.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.38 / $27.96 / $77.61	Professional	26	$19.38	$27.96	$77.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.53 / $60.26 / $205.06	Professional	TC	$49.53	$60.26	$205.06
United Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $110.44 / $245.41	Professional		$73.45	$110.44	$245.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.21 / $36.46 / $84.96	Professional	26	$25.21	$36.46	$84.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.55 / $82.94 / $178.22	Professional	TC	$45.55	$82.94	$178.22