Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $95.50 / $281.84	Facility	26	$79.43	$95.50	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $457.09	Professional		$169.82	$218.78	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $85.11 / $144.54	Professional	26	$61.66	$85.11	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $131.83 / $213.80	Professional	TC	$102.33	$131.83	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $173.78	Professional		$154.88	$154.88	$173.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $70.79 / $85.11	Professional	26	$64.57	$70.79	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $331.13	Professional		$234.42	$275.42	$331.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $102.33 / $128.82	Professional	26	$85.11	$102.33	$128.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $169.82 / $204.17	Professional	TC	$144.54	$169.82	$204.17
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $95.50 / $95.50	Professional	26	$39.81	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $389.05	Professional		$169.82	$234.42	$389.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $93.33 / $151.36	Professional	26	$66.07	$93.33	$151.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $147.91 / $257.04	Professional	TC	$97.72	$147.91	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $316.23	Professional		$154.88	$199.53	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $74.13 / $123.03	Professional	26	$60.26	$74.13	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $123.03 / $199.53	Professional	TC	$91.20	$123.03	$199.53