Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.04 / $93.18 / $112.45	Facility	26	$81.04	$93.18	$112.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.14 / $163.65 / $225.66	Professional		$121.14	$163.65	$225.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.22 / $93.18 / $152.87	Professional	26	$71.22	$93.18	$152.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.92 / $71.76 / $95.71	Professional	TC	$49.92	$71.76	$95.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.12 / $160.79 / $262.98	Professional		$130.12	$160.79	$262.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $72.05 / $84.73 / $84.73	Professional	26	$72.05	$84.73	$84.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.10 / $158.22 / $241.20	Professional		$137.10	$158.22	$241.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.97 / $92.73 / $137.47	Professional	26	$81.97	$92.73	$137.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.13 / $64.86 / $103.75	Professional	TC	$55.13	$64.86	$103.75
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $78.86 / $109.24 / $109.24	Professional	26	$78.86	$109.24	$109.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $158.79 / $245.04	Professional		$119.10	$158.79	$245.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.05 / $90.06 / $144.10	Professional	26	$72.05	$90.06	$144.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.05 / $66.38 / $106.48	Professional	TC	$47.05	$66.38	$106.48
United Facility/Professional Professional Modifier Low / Median / High Price $122.88 / $155.13 / $272.25	Professional		$122.88	$155.13	$272.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.90 / $87.40 / $151.91	Professional	26	$68.90	$87.40	$151.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.54 / $66.38 / $114.01	Professional	TC	$51.54	$66.38	$114.01