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 / $102.67	Facility	26	$60.00	$64.00	$102.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.40 / $285.52 / $320.00	Professional		$162.40	$285.52	$320.00
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 $99.41 / $201.03 / $240.00	Professional	TC	$99.41	$201.03	$240.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.70 / $63.65 / $94.95	Professional	26	$56.70	$63.65	$94.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.47 / $249.86 / $340.62	Professional		$202.47	$249.86	$340.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.17 / $98.50 / $117.45	Professional	26	$71.17	$98.50	$117.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.30 / $151.36 / $223.17	Professional	TC	$131.30	$151.36	$223.17
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $55.30 / $55.30 / $58.10	Professional	26	$55.30	$55.30	$58.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.77 / $183.37 / $350.00	Professional		$94.77	$183.37	$350.00
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 $55.08 / $107.69 / $216.62	Professional	TC	$55.08	$107.69	$216.62
United Facility/Professional Professional Modifier Low / Median / High Price $142.03 / $188.81 / $347.57	Professional		$142.03	$188.81	$347.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.40 / $68.40 / $108.77	Professional	26	$50.40	$68.40	$108.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.20 / $117.93 / $212.39	Professional	TC	$86.20	$117.93	$212.39