Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.58 / $60.00 / $90.27	Facility	26	$54.58	$60.00	$90.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.98 / $300.00 / $372.00	Professional		$195.98	$300.00	$372.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.03 / $60.00 / $109.13	Professional	26	$55.03	$60.00	$109.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.94 / $240.00 / $308.85	Professional	TC	$140.94	$240.00	$308.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.90 / $55.90 / $121.43	Professional	26	$55.90	$55.90	$121.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.41 / $307.13 / $524.10	Professional		$248.41	$307.13	$524.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.84 / $87.00 / $127.17	Professional	26	$62.84	$87.00	$127.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $185.57 / $221.79 / $396.94	Professional	TC	$185.57	$221.79	$396.94
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $48.58 / $48.58 / $51.47	Professional	26	$48.58	$48.58	$51.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.72 / $228.15 / $471.18	Professional		$112.72	$228.15	$471.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.88 / $66.80 / $110.89	Professional	26	$34.88	$66.80	$110.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.84 / $156.10 / $348.19	Professional	TC	$77.84	$156.10	$348.19
United Facility/Professional Professional Modifier Low / Median / High Price $195.41 / $256.51 / $481.43	Professional		$195.41	$256.51	$481.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.08 / $63.51 / $108.11	Professional	26	$49.08	$63.51	$108.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $140.49 / $186.19 / $354.16	Professional	TC	$140.49	$186.19	$354.16