Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.29 / $50.94 / $159.80	Facility	26	$46.29	$50.94	$159.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.28 / $183.40 / $273.05	Professional		$134.28	$183.40	$273.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.61 / $52.82 / $70.11	Professional	26	$34.61	$52.82	$70.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.50 / $130.58 / $204.06	Professional	TC	$99.50	$130.58	$204.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.33 / $148.33 / $160.46	Professional		$148.33	$148.33	$160.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.76 / $39.42 / $43.75	Professional	26	$27.76	$39.42	$43.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.20 / $182.80 / $296.20	Professional		$168.20	$182.80	$296.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.20 / $51.22 / $86.82	Professional	26	$46.20	$51.22	$86.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.08 / $131.85 / $209.37	Professional	TC	$120.08	$131.85	$209.37
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $35.95 / $35.95 / $36.61	Professional	26	$35.95	$35.95	$36.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.01 / $190.65 / $279.56	Professional		$145.01	$190.65	$279.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.84 / $49.33 / $80.78	Professional	26	$35.84	$49.33	$80.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $108.12 / $140.65 / $204.96	Professional	TC	$108.12	$140.65	$204.96
United Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $189.54 / $299.37	Professional		$136.47	$189.54	$299.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.65 / $47.21 / $78.03	Professional	26	$34.65	$47.21	$78.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.34 / $136.46 / $219.89	Professional	TC	$101.34	$136.46	$219.89