Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.00 / $64.00 / $90.78	Facility	26	$60.00	$64.00	$90.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.48 / $282.88 / $325.25	Professional		$171.48	$282.88	$325.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.15 / $60.00 / $125.71	Professional	26	$55.15	$60.00	$125.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.48 / $201.03 / $240.00	Professional	TC	$110.48	$201.03	$240.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.70 / $63.65 / $66.54	Professional	26	$56.70	$63.65	$66.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.56 / $264.95 / $340.62	Professional		$215.56	$264.95	$340.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.54 / $99.00 / $117.45	Professional	26	$71.54	$99.00	$117.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.02 / $165.95 / $223.17	Professional	TC	$144.02	$165.95	$223.17
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $55.30 / $55.30 / $58.42	Professional	26	$55.30	$55.30	$58.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.18 / $201.95 / $404.60	Professional		$100.18	$201.95	$404.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.69 / $71.62 / $122.69	Professional	26	$39.69	$71.62	$122.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.49 / $121.13 / $284.39	Professional	TC	$60.49	$121.13	$284.39
United Facility/Professional Professional Modifier Low / Median / High Price $168.95 / $224.95 / $408.07	Professional		$168.95	$224.95	$408.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.11 / $68.40 / $108.10	Professional	26	$50.11	$68.40	$108.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.50 / $154.09 / $289.29	Professional	TC	$117.50	$154.09	$289.29