Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.84 / $85.37 / $249.11	Facility	26	$71.84	$85.37	$249.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $110.84 / $214.71	Professional		$93.18	$110.84	$214.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.67 / $72.72 / $121.62	Professional	26	$62.67	$72.72	$121.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.51 / $38.61 / $84.04	Professional	TC	$30.51	$38.61	$84.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $169.00 / $169.00	Professional		$169.00	$169.00	$169.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.26 / $65.26 / $65.26	Professional	26	$65.26	$65.26	$65.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $141.12 / $180.38	Professional		$92.36	$141.12	$180.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.40 / $81.33 / $115.03	Professional	26	$64.40	$81.33	$115.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.96 / $56.29 / $72.38	Professional	TC	$27.96	$56.29	$72.38
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $56.87 / $56.87 / $56.87	Professional	26	$56.87	$56.87	$56.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.83 / $126.83 / $211.47	Professional		$97.83	$126.83	$211.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.93 / $81.80 / $131.85	Professional	26	$58.93	$81.80	$131.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.39 / $48.73 / $81.79	Professional	TC	$32.39	$48.73	$81.79
United Facility/Professional Professional Modifier Low / Median / High Price $76.51 / $95.41 / $159.78	Professional		$76.51	$95.41	$159.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.02 / $63.23 / $105.89	Professional	26	$50.02	$63.23	$105.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.20 / $32.18 / $53.89	Professional	TC	$24.20	$32.18	$53.89