Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.04 / $31.08 / $100.10	Facility	26	$29.04	$31.08	$100.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.51 / $185.61 / $279.60	Professional		$144.51	$185.61	$279.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.39 / $30.08 / $42.41	Professional	26	$21.39	$30.08	$42.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.11 / $154.53 / $251.29	Professional	TC	$123.11	$154.53	$251.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.97 / $25.97 / $25.97	Professional	26	$25.97	$25.97	$25.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.97 / $200.85 / $273.58	Professional		$185.97	$200.85	$273.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.27 / $30.13 / $40.74	Professional	26	$28.27	$30.13	$40.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $156.44 / $168.96 / $227.08	Professional	TC	$156.44	$168.96	$227.08
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $23.36 / $32.97 / $32.97	Professional	26	$23.36	$32.97	$32.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.02 / $181.37 / $272.70	Professional		$145.02	$181.37	$272.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.58 / $29.13 / $43.59	Professional	26	$22.58	$29.13	$43.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $121.89 / $157.11 / $239.12	Professional	TC	$121.89	$157.11	$239.12
United Facility/Professional Professional Modifier Low / Median / High Price $134.72 / $179.67 / $299.39	Professional		$134.72	$179.67	$299.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.14 / $26.53 / $45.29	Professional	26	$21.14	$26.53	$45.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.42 / $155.69 / $277.44	Professional	TC	$117.42	$155.69	$277.44