Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.19 / $40.19 / $48.51	Facility	26	$40.19	$40.19	$48.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $104.87 / $170.34	Professional		$64.31	$104.87	$170.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.06 / $37.97 / $54.05	Professional	26	$27.06	$37.97	$54.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $64.68 / $117.35	Professional	TC	$33.03	$64.68	$117.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.48 / $94.07 / $202.54	Professional		$87.48	$94.07	$202.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.95 / $36.95 / $36.95	Professional	26	$36.95	$36.95	$36.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.37 / $118.57 / $141.71	Professional		$82.37	$118.57	$141.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.25 / $40.38 / $60.98	Professional	26	$35.25	$40.38	$60.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.06 / $77.39 / $85.84	Professional	TC	$48.06	$77.39	$85.84
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $32.29 / $32.29 / $33.52	Professional	26	$32.29	$32.29	$33.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.41 / $107.12 / $163.34	Professional		$71.41	$107.12	$163.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.38 / $39.67 / $60.64	Professional	26	$31.38	$39.67	$60.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.63 / $70.63 / $99.24	Professional	TC	$40.63	$70.63	$99.24
United Facility/Professional Professional Modifier Low / Median / High Price $56.14 / $89.28 / $156.88	Professional		$56.14	$89.28	$156.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.66 / $38.07 / $68.27	Professional	26	$29.66	$38.07	$68.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.04 / $53.11 / $104.64	Professional	TC	$23.04	$53.11	$104.64