Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.42 / $50.68 / $163.22	Facility	26	$47.42	$50.68	$163.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.84 / $228.91 / $334.26	Professional		$178.84	$228.91	$334.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.91 / $47.42 / $63.76	Professional	26	$23.91	$47.42	$63.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.57 / $181.50 / $275.93	Professional	TC	$144.57	$181.50	$275.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.73 / $197.73 / $197.73	Professional		$197.73	$197.73	$197.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.67 / $58.67 / $69.48	Professional	26	$58.67	$58.67	$69.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.14 / $235.81 / $306.69	Professional		$199.14	$235.81	$306.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.89 / $47.16 / $52.65	Professional	26	$32.89	$47.16	$52.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $170.75 / $187.80 / $263.17	Professional	TC	$170.75	$187.80	$263.17
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $36.59 / $39.21 / $39.21	Professional	26	$36.59	$39.21	$39.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.15 / $217.09 / $332.36	Professional		$180.15	$217.09	$332.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.83 / $40.96 / $67.62	Professional	26	$29.83	$40.96	$67.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.16 / $182.54 / $287.74	Professional	TC	$143.16	$182.54	$287.74
United Facility/Professional Professional Modifier Low / Median / High Price $170.93 / $217.48 / $363.51	Professional		$170.93	$217.48	$363.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.75 / $40.86 / $75.29	Professional	26	$23.75	$40.86	$75.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $137.69 / $186.19 / $297.88	Professional	TC	$137.69	$186.19	$297.88