Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.64 / $84.65 / $280.22	Facility	26	$80.64	$84.65	$280.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.99 / $212.83 / $304.64	Professional		$169.99	$212.83	$304.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.42 / $80.64 / $105.28	Professional	26	$56.42	$80.64	$105.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $106.55 / $130.27 / $199.37	Professional	TC	$106.55	$130.27	$199.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $74.12 / $74.12 / $113.98	Professional	26	$74.12	$74.12	$113.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.29 / $258.68 / $409.10	Professional		$234.29	$258.68	$409.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.02 / $98.57 / $142.53	Professional	26	$83.02	$98.57	$142.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $145.43 / $158.93 / $285.27	Professional	TC	$145.43	$158.93	$285.27
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $66.70 / $96.35 / $96.35	Professional	26	$66.70	$96.35	$96.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.83 / $237.69 / $386.10	Professional		$176.83	$237.69	$386.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.41 / $94.30 / $146.38	Professional	26	$69.41	$94.30	$146.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.10 / $147.40 / $239.45	Professional	TC	$86.10	$147.40	$239.45
United Facility/Professional Professional Modifier Low / Median / High Price $159.62 / $212.78 / $349.41	Professional		$159.62	$212.78	$349.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.42 / $80.19 / $140.13	Professional	26	$63.42	$80.19	$140.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.60 / $136.82 / $209.27	Professional	TC	$95.60	$136.82	$209.27