Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $64.57 / $91.20	Facility	26	$60.26	$64.57	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $371.54	Professional		$151.36	$229.09	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $72.44 / $204.17	Professional	26	$51.29	$72.44	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $134.90 / $257.04	Professional	TC	$97.72	$134.90	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $239.88	Professional		$107.15	$144.54	$239.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $56.23 / $75.86	Professional	26	$45.71	$56.23	$75.86
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $61.66 / $67.61	Professional	TC	$61.66	$61.66	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $316.23	Professional		$199.53	$239.88	$316.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $85.11 / $107.15	Professional	26	$67.61	$85.11	$107.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $154.88 / $204.17	Professional	TC	$131.83	$154.88	$204.17
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $58.88 / $97.72	Professional	26	$57.54	$58.88	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $223.87 / $407.38	Professional		$117.49	$223.87	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $66.07 / $123.03	Professional	26	$43.65	$66.07	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $147.91 / $302.00	Professional	TC	$69.18	$147.91	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $398.11	Professional		$165.96	$223.87	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $64.57 / $102.33	Professional	26	$48.98	$64.57	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $151.36 / $269.15	Professional	TC	$109.65	$151.36	$269.15