Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $117.49 / $120.23	Facility	26	$109.65	$117.49	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $660.69	Professional		$275.42	$426.58	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $109.65 / $186.21	Professional	26	$70.79	$109.65	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $302.00 / $478.63	Professional	TC	$199.53	$302.00	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $64.57 / $83.18	Professional	26	$56.23	$64.57	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $537.03	Professional		$331.13	$389.05	$537.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $97.72 / $123.03	Professional	26	$75.86	$97.72	$123.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $302.00 / $416.87	Professional	TC	$257.04	$302.00	$416.87
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $66.07 / $66.07	Professional	26	$39.81	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $660.69	Professional		$190.55	$346.74	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $75.86 / $147.91	Professional	26	$48.98	$75.86	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $251.19 / $512.86	Professional	TC	$138.04	$251.19	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $630.96	Professional		$234.42	$346.74	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $75.86 / $114.82	Professional	26	$58.88	$75.86	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $263.03 / $478.63	Professional	TC	$177.83	$263.03	$478.63