Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Facility	26	$40.74	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $245.47	Professional		$93.33	$144.54	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $50.12 / $281.84	Professional	26	$25.70	$50.12	$281.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $95.50 / $165.96	Professional	TC	$64.57	$95.50	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $63.10 / $63.10	Professional	26	$63.10	$63.10	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $165.96 / $257.04	Professional		$147.91	$165.96	$257.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $50.12 / $83.18	Professional	26	$48.98	$50.12	$83.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $117.49 / $181.97	Professional	TC	$93.33	$117.49	$181.97
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $39.81 / $39.81	Professional	26	$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $239.88	Professional		$64.57	$112.20	$239.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $37.15 / $81.28	Professional	26	$19.05	$37.15	$81.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $69.18 / $169.82	Professional	TC	$42.66	$69.18	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $141.25 / $295.12	Professional		$72.44	$141.25	$295.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $46.77 / $95.50	Professional	26	$25.12	$46.77	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $97.72 / $194.98	Professional	TC	$40.74	$97.72	$194.98