Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.00 / $63.10 / $126.55	Facility	26	$52.00	$63.10	$126.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.21 / $158.75 / $217.11	Professional		$93.21	$158.75	$217.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.14 / $59.49 / $84.22	Professional	26	$42.14	$59.49	$84.22
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $35.54 / $67.76 / $108.54	Professional	52	$35.54	$67.76	$108.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.07 / $91.62 / $148.60	Professional	TC	$51.07	$91.62	$148.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.82 / $87.82 / $260.58	Professional		$87.82	$87.82	$260.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.60 / $84.34 / $94.57	Professional	26	$39.60	$84.34	$94.57
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $106.66 / $106.66 / $106.66	Professional	TC	$106.66	$106.66	$106.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.97 / $112.91 / $255.40	Professional		$95.97	$112.91	$255.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.99 / $54.11 / $93.06	Professional	26	$45.99	$54.11	$93.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.98 / $58.80 / $162.34	Professional	TC	$49.98	$58.80	$162.34
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $44.18 / $61.09 / $61.09	Professional	26	$44.18	$61.09	$61.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $128.72 / $273.20	Professional		$85.82	$128.72	$273.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.44 / $58.00 / $103.62	Professional	26	$40.44	$58.00	$103.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.38 / $68.06 / $168.16	Professional	TC	$45.38	$68.06	$168.16
United Facility/Professional Professional Modifier Low / Median / High Price $101.24 / $150.09 / $272.19	Professional		$101.24	$150.09	$272.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.19 / $56.34 / $96.50	Professional	26	$40.19	$56.34	$96.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.51 / $88.19 / $170.15	Professional	TC	$60.51	$88.19	$170.15