Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.98 / $53.46 / $64.63	Facility	26	$45.98	$53.46	$64.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.25 / $149.06 / $207.17	Professional		$99.25	$149.06	$207.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.33 / $53.46 / $72.01	Professional	26	$36.33	$53.46	$72.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.99 / $103.67 / $132.30	Professional	TC	$63.99	$103.67	$132.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.44 / $130.44 / $130.44	Professional		$130.44	$130.44	$130.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.73 / $144.38 / $305.10	Professional		$122.73	$144.38	$305.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.55 / $52.65 / $81.20	Professional	26	$46.55	$52.65	$81.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.19 / $89.64 / $234.52	Professional	TC	$76.19	$89.64	$234.52
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $40.00 / $43.18 / $43.18	Professional	26	$40.00	$43.18	$43.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.22 / $150.68 / $252.59	Professional		$104.22	$150.68	$252.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.93 / $53.20 / $80.78	Professional	26	$40.93	$53.20	$80.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.34 / $94.44 / $173.14	Professional	TC	$64.34	$94.44	$173.14
United Facility/Professional Professional Modifier Low / Median / High Price $104.76 / $136.62 / $241.81	Professional		$104.76	$136.62	$241.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.11 / $49.20 / $90.94	Professional	26	$39.11	$49.20	$90.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.29 / $90.71 / $166.67	Professional	TC	$63.29	$90.71	$166.67