Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.31 / $69.44 / $248.16	Facility	26	$66.31	$69.44	$248.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.62 / $102.84 / $199.42	Professional		$83.62	$102.84	$199.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.72 / $69.44 / $230.00	Professional	26	$56.72	$69.44	$230.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.89 / $35.84 / $78.37	Professional	TC	$26.89	$35.84	$78.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.38 / $117.38 / $117.38	Professional		$117.38	$117.38	$117.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.15 / $60.15 / $60.15	Professional	26	$60.15	$60.15	$60.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.17 / $130.80 / $163.98	Professional		$85.17	$130.80	$163.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.95 / $74.91 / $105.43	Professional	26	$58.95	$74.91	$105.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.73 / $52.60 / $67.63	Professional	TC	$25.73	$52.60	$67.63
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $53.71 / $53.71 / $53.71	Professional	26	$53.71	$53.71	$53.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.99 / $113.82 / $203.52	Professional		$88.99	$113.82	$203.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.46 / $72.13 / $118.61	Professional	26	$54.46	$72.13	$118.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.83 / $45.46 / $76.43	Professional	TC	$28.83	$45.46	$76.43
United Facility/Professional Professional Modifier Low / Median / High Price $69.44 / $87.93 / $147.88	Professional		$69.44	$87.93	$147.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.13 / $58.36 / $103.48	Professional	26	$46.13	$58.36	$103.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.40 / $29.95 / $50.59	Professional	TC	$21.40	$29.95	$50.59