Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.63 / $50.95 / $182.07	Facility	26	$48.63	$50.95	$182.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $81.44 / $133.94	Professional		$65.54	$81.44	$133.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.25 / $49.24 / $79.69	Professional	26	$42.25	$49.24	$79.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.28 / $32.81 / $71.43	Professional	TC	$23.28	$32.81	$71.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.39 / $44.39 / $66.52	Professional	26	$44.39	$44.39	$66.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $106.26 / $131.40	Professional		$67.63	$106.26	$131.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.50 / $55.17 / $78.81	Professional	26	$43.50	$55.17	$78.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.30 / $48.09 / $61.83	Professional	TC	$22.30	$48.09	$61.83
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $40.00 / $58.10 / $58.10	Professional	26	$40.00	$58.10	$58.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.91 / $91.48 / $160.65	Professional		$68.91	$91.48	$160.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.59 / $55.26 / $88.68	Professional	26	$40.59	$55.26	$88.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.13 / $41.46 / $69.98	Professional	TC	$26.13	$41.46	$69.98
United Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $69.81 / $117.63	Professional		$54.80	$69.81	$117.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.90 / $43.81 / $75.93	Professional	26	$33.90	$43.81	$75.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.79 / $26.94 / $44.78	Professional	TC	$18.79	$26.94	$44.78