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 / $86.66	Facility	26	$54.58	$60.00	$86.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $300.00 / $321.13	Professional		$171.00	$300.00	$321.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.05 / $60.00 / $112.40	Professional	26	$53.05	$60.00	$112.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.55 / $240.00 / $261.63	Professional	TC	$111.55	$240.00	$261.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $49.82 / $55.90 / $98.66	Professional	26	$49.82	$55.90	$98.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.42 / $253.54 / $448.71	Professional		$207.42	$253.54	$448.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.47 / $86.50 / $119.37	Professional	26	$62.47	$86.50	$119.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.94 / $167.04 / $329.34	Professional	TC	$144.94	$167.04	$329.34
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 $95.56 / $177.48 / $363.14	Professional		$95.56	$177.48	$363.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.88 / $59.79 / $106.87	Professional	26	$34.88	$59.79	$106.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.69 / $112.71 / $259.39	Professional	TC	$60.69	$112.71	$259.39
United Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $203.54 / $397.04	Professional		$135.69	$203.54	$397.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.11 / $63.11 / $110.10	Professional	26	$45.11	$63.11	$110.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.91 / $126.42 / $256.73	Professional	TC	$83.91	$126.42	$256.73