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 $66.07 / $85.11 / $147.91	Professional		$66.07	$85.11	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $47.86 / $95.50	Professional	26	$37.15	$47.86	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $37.15 / $75.86	Professional	TC	$21.88	$37.15	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $75.86 / $114.82	Professional		$69.18	$75.86	$114.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $44.67 / $50.12	Professional	26	$39.81	$44.67	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $131.83	Professional		$64.57	$107.15	$131.83
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 $22.39 / $47.86 / $61.66	Professional	TC	$22.39	$47.86	$61.66
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $57.54 / $57.54	Professional	26	$39.81	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $165.96	Professional		$64.57	$91.20	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $56.23 / $89.13	Professional	26	$39.81	$56.23	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $40.74 / $69.18	Professional	TC	$25.12	$40.74	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $69.18 / $112.20	Professional		$53.70	$69.18	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $41.69 / $67.61	Professional	26	$33.88	$41.69	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.30 / $44.67	Professional	TC	$18.20	$26.30	$44.67