Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.96 / $31.90 / $106.42	Facility	26	$30.96	$31.90	$106.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.27 / $151.44 / $222.58	Professional		$103.27	$151.44	$222.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.82 / $32.69 / $45.83	Professional	26	$22.82	$32.69	$45.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.39 / $120.48 / $177.11	Professional	TC	$79.39	$120.48	$177.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.57 / $35.57 / $35.57	Professional	26	$35.57	$35.57	$35.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.50 / $154.71 / $230.58	Professional		$131.50	$154.71	$230.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.03 / $33.95 / $48.10	Professional	26	$30.03	$33.95	$48.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $103.77 / $124.68 / $185.68	Professional	TC	$103.77	$124.68	$185.68
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $33.36 / $35.56 / $40.00	Professional	26	$33.36	$35.56	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.76 / $180.23 / $269.82	Professional		$140.76	$180.23	$269.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.43 / $36.52 / $49.72	Professional	26	$26.43	$36.52	$49.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.88 / $141.11 / $229.65	Professional	TC	$112.88	$141.11	$229.65
United Facility/Professional Professional Modifier Low / Median / High Price $133.87 / $180.27 / $293.04	Professional		$133.87	$180.27	$293.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.09 / $29.86 / $49.54	Professional	26	$23.09	$29.86	$49.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $110.32 / $149.27 / $240.54	Professional	TC	$110.32	$149.27	$240.54