Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.17 / $30.62 / $101.41	Facility	26	$29.17	$30.62	$101.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.52 / $115.43 / $171.42	Professional		$90.52	$115.43	$171.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.63 / $41.18	Professional	26	$22.91	$30.63	$41.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $82.79 / $126.39	Professional	TC	$67.61	$82.79	$126.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.88 / $140.88 / $140.88	Professional		$140.88	$140.88	$140.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.67 / $26.84 / $37.79	Professional	26	$25.67	$26.84	$37.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.69 / $137.83 / $208.41	Professional		$114.69	$137.83	$208.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $36.07 / $50.71	Professional	26	$29.51	$36.07	$50.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.17 / $107.10 / $164.34	Professional	TC	$85.17	$107.10	$164.34
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $24.43 / $34.79 / $34.79	Professional	26	$24.43	$34.79	$34.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $127.21 / $198.71	Professional		$97.94	$127.21	$198.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.13 / $34.36 / $53.00	Professional	26	$25.13	$34.36	$53.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.01 / $93.71 / $147.33	Professional	TC	$72.01	$93.71	$147.33
United Facility/Professional Professional Modifier Low / Median / High Price $83.57 / $115.79 / $181.32	Professional		$83.57	$115.79	$181.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.40 / $29.78 / $50.71	Professional	26	$22.40	$29.78	$50.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.70 / $85.49 / $143.26	Professional	TC	$61.70	$85.49	$143.26