Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $33.88 / $102.33	Facility	26	$28.84	$33.88	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $275.42	Professional		$89.13	$128.82	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $32.36 / $72.44	Professional	26	$21.88	$32.36	$72.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $85.11 / $131.83	Professional	TC	$61.66	$85.11	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $93.33	Professional		$69.18	$77.62	$93.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $23.44 / $28.84	Professional	26	$19.05	$23.44	$28.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $173.78	Professional		$123.03	$144.54	$173.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $37.15 / $46.77	Professional	26	$30.90	$37.15	$46.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $107.15 / $128.82	Professional	TC	$91.20	$107.15	$128.82
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $34.67 / $39.81	Professional	26	$24.55	$34.67	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $199.53	Professional		$91.20	$125.89	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $33.88 / $54.95	Professional	26	$23.99	$33.88	$54.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $93.33 / $154.88	Professional	TC	$67.61	$93.33	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $177.83	Professional		$83.18	$112.20	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $26.92 / $43.65	Professional	26	$21.88	$26.92	$43.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $81.28 / $123.03	Professional	TC	$61.66	$81.28	$123.03