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 $110.97 / $142.94 / $210.35	Professional		$110.97	$142.94	$210.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.12 / $29.04 / $40.09	Professional	26	$16.12	$29.04	$40.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.15 / $115.98 / $172.15	Professional	TC	$90.15	$115.98	$172.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.50 / $25.19 / $42.24	Professional	26	$18.50	$25.19	$42.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.51 / $147.30 / $207.97	Professional		$125.51	$147.30	$207.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.30 / $29.09 / $32.52	Professional	26	$22.30	$29.09	$32.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $108.10 / $117.68 / $185.68	Professional	TC	$108.10	$117.68	$185.68
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $22.42 / $32.97 / $32.97	Professional	26	$22.42	$32.97	$32.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.74 / $144.13 / $213.16	Professional		$111.74	$144.13	$213.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.36 / $25.37 / $41.52	Professional	26	$18.36	$25.37	$41.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.24 / $117.76 / $192.13	Professional	TC	$89.24	$117.76	$192.13
United Facility/Professional Professional Modifier Low / Median / High Price $107.62 / $141.10 / $238.36	Professional		$107.62	$141.10	$238.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.87 / $25.26 / $44.68	Professional	26	$15.87	$25.26	$44.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.99 / $117.49 / $194.18	Professional	TC	$84.99	$117.49	$194.18