Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.00 / $18.07 / $40.29	Facility	26	$15.00	$18.07	$40.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $102.65 / $144.94	Professional		$74.62	$102.65	$144.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.02 / $15.50 / $21.90	Professional	26	$11.02	$15.50	$21.90
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $35.28 / $48.22 / $60.66	Professional	52	$35.28	$48.22	$60.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.70 / $85.60 / $130.30	Professional	TC	$64.70	$85.60	$130.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.72 / $70.94 / $127.69	Professional		$52.72	$70.94	$127.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $11.62 / $19.85	Professional	26	$8.61	$11.62	$19.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.67 / $106.71 / $141.91	Professional		$95.67	$106.71	$141.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $15.07 / $19.71	Professional	26	$13.58	$15.07	$19.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $80.91 / $87.38 / $118.97	Professional	TC	$80.91	$87.38	$118.97
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $11.51 / $11.65 / $11.65	Professional	26	$11.51	$11.65	$11.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $93.34 / $141.76	Professional		$74.48	$93.34	$141.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.33 / $14.37 / $22.17	Professional	26	$11.33	$14.37	$22.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.91 / $81.55 / $125.64	Professional	TC	$62.91	$81.55	$125.64
United Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $95.28 / $166.76	Professional		$69.98	$95.28	$166.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.40 / $13.38 / $23.10	Professional	26	$10.40	$13.38	$23.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.41 / $80.34 / $134.74	Professional	TC	$59.41	$80.34	$134.74