Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.00 / $62.09 / $101.08	Facility	26	$60.00	$62.09	$101.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.41 / $300.00 / $444.84	Professional		$230.41	$300.00	$444.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.44 / $62.17 / $127.35	Professional	26	$58.44	$62.17	$127.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $155.04 / $240.00 / $310.62	Professional	TC	$155.04	$240.00	$310.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $196.50 / $196.50 / $196.50	Professional		$196.50	$196.50	$196.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $88.01 / $110.46 / $110.46	Professional	26	$88.01	$110.46	$110.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.50 / $351.16 / $579.19	Professional		$290.50	$351.16	$579.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.39 / $97.45 / $132.94	Professional	26	$70.39	$97.45	$132.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $220.11 / $255.06 / $446.22	Professional	TC	$220.11	$255.06	$446.22
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $54.41 / $57.44 / $152.94	Professional	26	$54.41	$57.44	$152.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.07 / $268.38 / $529.66	Professional		$131.07	$268.38	$529.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.07 / $74.70 / $125.19	Professional	26	$39.07	$74.70	$125.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.01 / $185.18 / $384.85	Professional	TC	$92.01	$185.18	$384.85
United Facility/Professional Professional Modifier Low / Median / High Price $213.81 / $289.27 / $534.05	Professional		$213.81	$289.27	$534.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.06 / $69.61 / $110.64	Professional	26	$53.06	$69.61	$110.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $149.55 / $208.52 / $393.47	Professional	TC	$149.55	$208.52	$393.47