Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $57.54 / $169.82	Facility	26	$47.86	$57.54	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $162.18	Professional		$70.79	$87.10	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $48.98 / $123.03	Professional	26	$38.02	$48.98	$123.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $40.74 / $74.13	Professional	TC	$23.99	$40.74	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $93.33	Professional		$70.79	$70.79	$93.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $42.66 / $50.12	Professional	26	$42.66	$42.66	$50.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $46.77 / $46.77	Professional	TC	$46.77	$46.77	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $138.04	Professional		$67.61	$112.20	$138.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $58.88 / $77.62	Professional	26	$42.66	$58.88	$77.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $52.48 / $67.61	Professional	TC	$23.99	$52.48	$67.61
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $38.90 / $39.81	Professional	26	$38.90	$38.90	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $169.82	Professional		$67.61	$97.72	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $56.23 / $91.20	Professional	26	$39.81	$56.23	$91.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $44.67 / $77.62	Professional	TC	$27.54	$44.67	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $72.44 / $120.23	Professional		$58.88	$72.44	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $43.65 / $69.18	Professional	26	$33.88	$43.65	$69.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.84 / $48.98	Professional	TC	$20.89	$28.84	$48.98