Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.95 / $95.95 / $115.74	Facility	26	$95.95	$95.95	$115.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $178.95 / $265.62	Professional		$130.08	$178.95	$265.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.34 / $95.95 / $128.97	Professional	26	$65.34	$95.95	$128.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.03 / $93.17 / $130.10	Professional	TC	$55.03	$93.17	$130.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.34 / $86.65 / $86.65	Professional	26	$75.34	$86.65	$86.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.94 / $183.23 / $286.79	Professional		$157.94	$183.23	$286.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.12 / $95.16 / $143.05	Professional	26	$84.12	$95.16	$143.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.83 / $89.72 / $143.74	Professional	TC	$74.83	$89.72	$143.74
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $79.87 / $111.86 / $111.86	Professional	26	$79.87	$111.86	$111.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.13 / $172.16 / $284.25	Professional		$129.13	$172.16	$284.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.66 / $93.51 / $144.66	Professional	26	$73.66	$93.51	$144.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.32 / $82.25 / $141.18	Professional	TC	$51.32	$82.25	$141.18
United Facility/Professional Professional Modifier Low / Median / High Price $117.95 / $166.97 / $288.02	Professional		$117.95	$166.97	$288.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.14 / $89.33 / $148.66	Professional	26	$68.14	$89.33	$148.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.58 / $84.25 / $142.58	Professional	TC	$44.58	$84.25	$142.58