Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.47 / $53.01 / $64.00	Facility	26	$46.47	$53.01	$64.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $108.62 / $158.60	Professional		$77.73	$108.62	$158.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.82 / $53.01 / $81.69	Professional	26	$40.82	$53.01	$81.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $250.98 / $250.98 / $250.98	Professional	50	$250.98	$250.98	$250.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.17 / $55.60 / $85.15	Professional	TC	$40.17	$55.60	$85.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.72 / $112.32 / $186.10	Professional		$99.72	$112.32	$186.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.78 / $48.59 / $52.98	Professional	26	$40.78	$48.59	$52.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.80 / $110.06 / $156.58	Professional		$94.80	$110.06	$156.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.66 / $53.90 / $80.43	Professional	26	$46.66	$53.90	$80.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.35 / $58.26 / $76.15	Professional	TC	$47.35	$58.26	$76.15
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $44.72 / $90.18 / $90.18	Professional	26	$44.72	$90.18	$90.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $110.06 / $163.95	Professional		$83.20	$110.06	$163.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.31 / $52.43 / $82.62	Professional	26	$41.31	$52.43	$82.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.89 / $53.41 / $88.20	Professional	TC	$41.89	$53.41	$88.20
United Facility/Professional Professional Modifier Low / Median / High Price $77.28 / $101.83 / $180.08	Professional		$77.28	$101.83	$180.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.19 / $50.29 / $90.08	Professional	26	$40.19	$50.29	$90.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.09 / $50.25 / $81.66	Professional	TC	$36.09	$50.25	$81.66