Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.97 / $154.21 / $186.19	Facility	26	$134.97	$154.21	$186.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.65 / $257.89 / $351.30	Professional		$182.65	$257.89	$351.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.75 / $154.21 / $207.47	Professional	26	$105.75	$154.21	$207.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.72 / $105.59 / $139.77	Professional	TC	$71.72	$105.59	$139.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.72 / $253.15 / $412.14	Professional		$187.72	$253.15	$412.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $134.97 / $141.12 / $197.92	Professional	26	$134.97	$141.12	$197.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.48 / $251.88 / $385.51	Professional		$216.48	$251.88	$385.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $136.40 / $154.30 / $229.54	Professional	26	$136.40	$154.30	$229.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $80.08 / $94.21 / $155.97	Professional	TC	$80.08	$94.21	$155.97
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $130.50 / $181.12 / $181.12	Professional	26	$130.50	$181.12	$181.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.52 / $252.82 / $386.86	Professional		$187.52	$252.82	$386.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $119.95 / $149.94 / $239.90	Professional	26	$119.95	$149.94	$239.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.56 / $98.88 / $156.05	Professional	TC	$67.56	$98.88	$156.05
United Facility/Professional Professional Modifier Low / Median / High Price $191.05 / $243.05 / $429.79	Professional		$191.05	$243.05	$429.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $114.13 / $146.22 / $247.99	Professional	26	$114.13	$146.22	$247.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.38 / $100.89 / $167.76	Professional	TC	$77.38	$100.89	$167.76