Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $60.26 / $177.83	Facility	26	$51.29	$60.26	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $275.42	Professional		$114.82	$158.49	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $51.29 / $97.72	Professional	26	$37.15	$51.29	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $107.15 / $165.96	Professional	TC	$75.86	$107.15	$165.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $45.71 / $63.10	Professional	26	$31.62	$45.71	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $251.19	Professional		$147.91	$199.53	$251.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $64.57 / $83.18	Professional	26	$53.70	$64.57	$83.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $134.90 / $165.96	Professional	TC	$97.72	$134.90	$165.96
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $39.81 / $42.66	Professional	26	$39.81	$39.81	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $288.40	Professional		$120.23	$177.83	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $58.88 / $95.50	Professional	26	$41.69	$58.88	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $117.49 / $204.17	Professional	TC	$83.18	$117.49	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $263.03	Professional		$117.49	$147.91	$263.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $46.77 / $77.62	Professional	26	$38.02	$46.77	$77.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $97.72 / $177.83	Professional	TC	$75.86	$97.72	$177.83