Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.48 / $56.21 / $112.73	Facility	26	$46.48	$56.21	$112.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.44 / $227.53 / $333.40	Professional		$170.44	$227.53	$333.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.53 / $46.48 / $65.59	Professional	26	$31.53	$46.48	$65.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $143.05 / $177.74 / $259.95	Professional	TC	$143.05	$177.74	$259.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.23 / $172.30 / $220.77	Professional		$121.23	$172.30	$220.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.53 / $39.58 / $69.48	Professional	26	$34.53	$39.58	$69.48
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $102.67 / $102.67 / $102.67	Professional	TC	$102.67	$102.67	$102.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.47 / $226.44 / $305.66	Professional		$204.47	$226.44	$305.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.06 / $47.13 / $52.85	Professional	26	$40.06	$47.13	$52.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $170.75 / $178.46 / $256.26	Professional	TC	$170.75	$178.46	$256.26
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $36.90 / $37.51 / $37.51	Professional	26	$36.90	$37.51	$37.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.70 / $215.85 / $322.93	Professional		$171.70	$215.85	$322.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.14 / $42.23 / $69.76	Professional	26	$34.14	$42.23	$69.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.75 / $176.13 / $279.64	Professional	TC	$134.75	$176.13	$279.64
United Facility/Professional Professional Modifier Low / Median / High Price $165.14 / $213.73 / $361.50	Professional		$165.14	$213.73	$361.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.71 / $40.78 / $79.09	Professional	26	$30.71	$40.78	$79.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $132.25 / $179.17 / $294.25	Professional	TC	$132.25	$179.17	$294.25