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 / $101.59	Facility	26	$60.00	$62.09	$101.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.14 / $300.00 / $397.37	Professional		$201.14	$300.00	$397.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $60.00 / $124.39	Professional	26	$55.00	$60.00	$124.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.85 / $240.00 / $300.27	Professional	TC	$138.85	$240.00	$300.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.47 / $65.47 / $65.47	Professional	26	$65.47	$65.47	$65.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.22 / $307.02 / $536.79	Professional		$252.22	$307.02	$536.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.39 / $97.45 / $130.38	Professional	26	$70.39	$97.45	$130.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.83 / $209.58 / $406.42	Professional	TC	$181.83	$209.58	$406.42
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $54.41 / $57.76 / $137.10	Professional	26	$54.41	$57.76	$137.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.31 / $226.19 / $442.15	Professional		$115.31	$226.19	$442.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.07 / $72.44 / $121.39	Professional	26	$39.07	$72.44	$121.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.25 / $143.41 / $324.20	Professional	TC	$76.25	$143.41	$324.20
United Facility/Professional Professional Modifier Low / Median / High Price $151.44 / $238.51 / $484.37	Professional		$151.44	$238.51	$484.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.77 / $69.51 / $109.45	Professional	26	$50.77	$69.51	$109.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.70 / $170.20 / $318.62	Professional	TC	$100.70	$170.20	$318.62