Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $57.54 / $169.82	Facility	26	$48.98	$57.54	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $144.54	Professional		$61.66	$79.43	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $47.86 / $102.33	Professional	26	$38.02	$47.86	$102.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $41.69 / $41.69	Professional	26	$41.69	$41.69	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $102.33 / $125.89	Professional		$66.07	$102.33	$125.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $58.88 / $77.62	Professional	26	$42.66	$58.88	$77.62
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $67.61 / $67.61	Professional	26	$39.81	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $158.49	Professional		$63.10	$91.20	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $56.23 / $89.13	Professional	26	$39.81	$56.23	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $107.15	Professional		$56.23	$72.44	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $43.65 / $66.07	Professional	26	$33.88	$43.65	$66.07