Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $85.11 / $251.19	Facility	26	$70.79	$85.11	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $346.74	Professional		$87.10	$114.82	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $70.79 / $151.36	Professional	26	$52.48	$70.79	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $43.65 / $85.11	Professional	TC	$28.18	$43.65	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $123.03	Professional		$77.62	$100.00	$123.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $64.57 / $83.18	Professional	26	$52.48	$64.57	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $173.78	Professional		$89.13	$141.25	$173.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $87.10 / $114.82	Professional	26	$63.10	$87.10	$114.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $56.23 / $72.44	Professional	TC	$25.70	$56.23	$72.44
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 $87.10 / $125.89 / $218.78	Professional		$87.10	$125.89	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $81.28 / $131.83	Professional	26	$58.88	$81.28	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $47.86 / $81.28	Professional	TC	$30.90	$47.86	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $154.88	Professional		$75.86	$95.50	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $61.66 / $100.00	Professional	26	$50.12	$61.66	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $31.62 / $52.48	Professional	TC	$23.99	$31.62	$52.48