Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.87 / $49.11 / $158.16	Facility	26	$45.87	$49.11	$158.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.42 / $299.41 / $430.39	Professional		$223.42	$299.41	$430.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.34 / $45.87 / $66.98	Professional	26	$34.34	$45.87	$66.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $189.08 / $253.43 / $363.41	Professional	TC	$189.08	$253.43	$363.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $246.03 / $246.03 / $246.03	Professional		$246.03	$246.03	$246.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.08 / $294.01 / $409.22	Professional		$288.08	$294.01	$409.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.58 / $47.92 / $62.32	Professional	26	$42.58	$47.92	$62.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $241.12 / $246.25 / $347.41	Professional	TC	$241.12	$246.25	$347.41
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $36.51 / $51.69 / $51.69	Professional	26	$36.51	$51.69	$51.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.64 / $291.56 / $422.65	Professional		$224.64	$291.56	$422.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.79 / $44.59 / $67.95	Professional	26	$36.79	$44.59	$67.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $187.15 / $236.40 / $356.48	Professional	TC	$187.15	$236.40	$356.48
United Facility/Professional Professional Modifier Low / Median / High Price $219.37 / $271.75 / $483.57	Professional		$219.37	$271.75	$483.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.95 / $41.38 / $72.65	Professional	26	$32.95	$41.38	$72.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $184.09 / $232.05 / $393.69	Professional	TC	$184.09	$232.05	$393.69