Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.61 / $40.61 / $40.61	Facility	26	$40.61	$40.61	$40.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.65 / $147.55 / $915.44	Professional		$84.65	$147.55	$915.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.20 / $50.87 / $289.86	Professional	26	$25.20	$50.87	$289.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.45 / $96.67 / $625.58	Professional	TC	$59.45	$96.67	$625.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.14 / $167.14 / $167.14	Professional		$167.14	$167.14	$167.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.81 / $175.39 / $289.66	Professional		$106.81	$175.39	$289.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.24 / $55.43 / $129.69	Professional	26	$38.24	$55.43	$129.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.56 / $125.46 / $183.95	Professional	TC	$68.56	$125.46	$183.95
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $37.50 / $37.50 / $37.50	Professional	26	$37.50	$37.50	$37.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $111.44 / $246.90	Professional		$64.09	$111.44	$246.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.23 / $37.36 / $82.46	Professional	26	$19.23	$37.36	$82.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.80 / $62.65 / $174.42	Professional	TC	$42.80	$62.65	$174.42
United Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $140.01 / $296.92	Professional		$73.16	$140.01	$296.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.70 / $43.31 / $95.09	Professional	26	$24.70	$43.31	$95.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.37 / $90.58 / $195.27	Professional	TC	$43.37	$90.58	$195.27