Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.97 / $124.93 / $150.72	Facility	26	$107.97	$124.93	$150.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $215.49 / $294.36	Professional		$153.00	$215.49	$294.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.25 / $124.93 / $190.93	Professional	26	$92.25	$124.93	$190.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.54 / $91.21 / $121.60	Professional	TC	$63.54	$91.21	$121.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.82 / $210.41 / $323.08	Professional		$150.82	$210.41	$323.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $112.88 / $112.88 / $123.09	Professional	26	$112.88	$112.88	$123.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.22 / $208.30 / $316.97	Professional		$179.22	$208.30	$316.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.18 / $123.51 / $183.56	Professional	26	$109.18	$123.51	$183.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.03 / $82.39 / $133.41	Professional	TC	$70.03	$82.39	$133.41
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $104.53 / $146.15 / $146.15	Professional	26	$104.53	$146.15	$146.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.86 / $208.96 / $324.02	Professional		$155.86	$208.96	$324.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.98 / $119.98 / $191.97	Professional	26	$95.98	$119.98	$191.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.88 / $85.37 / $138.97	Professional	TC	$59.88	$85.37	$138.97
United Facility/Professional Professional Modifier Low / Median / High Price $161.81 / $198.15 / $360.04	Professional		$161.81	$198.15	$360.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.27 / $117.00 / $212.09	Professional	26	$92.27	$117.00	$212.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.56 / $87.42 / $156.80	Professional	TC	$67.56	$87.42	$156.80