Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $42.66 / $42.66	Facility	26	$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.03 / $209.50 / $403.59	Professional		$182.03	$209.50	$403.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.47 / $44.64 / $58.24	Professional	26	$26.47	$44.64	$58.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $143.21 / $177.57 / $345.35	Professional	TC	$143.21	$177.57	$345.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.09 / $38.09 / $69.28	Professional	26	$38.09	$38.09	$69.28
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $198.41 / $198.41 / $198.41	Professional	TC	$198.41	$198.41	$198.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.83 / $321.06 / $338.45	Professional		$221.83	$321.06	$338.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.34 / $50.08 / $63.74	Professional	26	$40.34	$50.08	$63.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $172.45 / $251.02 / $288.38	Professional	TC	$172.45	$251.02	$288.38
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $37.07 / $37.07 / $37.07	Professional	26	$37.07	$37.07	$37.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $155.21 / $581.78	Professional		$92.77	$155.21	$581.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $30.54 / $82.47	Professional	26	$19.05	$30.54	$82.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.90 / $131.85 / $499.31	Professional	TC	$70.90	$131.85	$499.31
United Facility/Professional Professional Modifier Low / Median / High Price $172.36 / $331.91 / $621.02	Professional		$172.36	$331.91	$621.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.88 / $50.81 / $98.42	Professional	26	$26.88	$50.81	$98.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.99 / $262.02 / $535.53	Professional	TC	$147.99	$262.02	$535.53