Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.00 / $62.41 / $101.59	Facility	26	$60.00	$62.41	$101.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.58 / $300.00 / $356.12	Professional		$188.58	$300.00	$356.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $60.00 / $123.06	Professional	26	$54.86	$60.00	$123.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.94 / $240.00 / $256.70	Professional	TC	$125.94	$240.00	$256.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.09 / $65.83 / $111.06	Professional	26	$56.09	$65.83	$111.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.72 / $289.20 / $364.61	Professional		$236.72	$289.20	$364.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.76 / $97.93 / $116.79	Professional	26	$70.76	$97.93	$116.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $191.28 / $247.81	Professional	TC	$165.96	$191.28	$247.81
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $54.70 / $57.76 / $139.24	Professional	26	$54.70	$57.76	$139.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.93 / $202.57 / $414.23	Professional		$108.93	$202.57	$414.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.27 / $71.20 / $121.99	Professional	26	$39.27	$71.20	$121.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.66 / $129.38 / $294.00	Professional	TC	$69.66	$129.38	$294.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.34 / $224.45 / $413.76	Professional		$149.34	$224.45	$413.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.84 / $68.34 / $107.44	Professional	26	$49.84	$68.34	$107.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $96.65 / $145.16 / $270.44	Professional	TC	$96.65	$145.16	$270.44