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 $173.78 / $257.04 / $416.87	Professional		$173.78	$257.04	$416.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $39.81 / $63.10	Professional	26	$25.70	$39.81	$63.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $218.78 / $354.81	Professional	TC	$147.91	$218.78	$354.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $38.02 / $69.18	Professional	26	$38.02	$38.02	$69.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $199.53 / $199.53	Professional	TC	$199.53	$199.53	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $416.87	Professional		$223.87	$323.59	$416.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $50.12 / $61.66	Professional	26	$48.98	$50.12	$61.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $269.15 / $354.81	Professional	TC	$173.78	$269.15	$354.81
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $38.90 / $38.90	Professional	26	$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $549.54	Professional		$109.65	$147.91	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $30.20 / $77.62	Professional	26	$19.05	$30.20	$77.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $125.89 / $467.74	Professional	TC	$70.79	$125.89	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $316.23 / $575.44	Professional		$158.49	$316.23	$575.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $45.71 / $85.11	Professional	26	$26.92	$45.71	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $263.03 / $537.03	Professional	TC	$95.50	$263.03	$537.03