Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $77.62 / $229.09	Facility	26	$66.07	$77.62	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $309.03	Professional		$81.28	$109.65	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $66.07 / $229.09	Professional	26	$51.29	$66.07	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $40.74 / $74.13	Professional	TC	$25.12	$40.74	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $117.49	Professional		$85.11	$93.33	$117.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $53.70 / $67.61	Professional	26	$48.98	$53.70	$67.61
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $36.31 / $36.31	Professional	TC	$36.31	$36.31	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $162.18	Professional		$81.28	$131.83	$162.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $79.43 / $104.71	Professional	26	$57.54	$79.43	$104.71
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 $39.81 / $52.48 / $52.48	Professional	26	$39.81	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $204.17	Professional		$81.28	$114.82	$204.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $74.13 / $117.49	Professional	26	$53.70	$74.13	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $44.67 / $75.86	Professional	TC	$28.84	$44.67	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $144.54	Professional		$69.18	$87.10	$144.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $56.23 / $89.13	Professional	26	$45.71	$56.23	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $28.84 / $48.98	Professional	TC	$21.38	$28.84	$48.98