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 / $97.69	Facility	26	$60.00	$64.00	$97.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.45 / $300.00 / $380.05	Professional		$200.45	$300.00	$380.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.34 / $62.95 / $137.65	Professional	26	$59.34	$62.95	$137.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $132.57 / $240.00 / $256.00	Professional	TC	$132.57	$240.00	$256.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.01 / $180.01 / $180.01	Professional		$180.01	$180.01	$180.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $59.91 / $68.20 / $71.30	Professional	26	$59.91	$68.20	$71.30
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $33.40 / $133.59 / $133.59	Professional	TC	$33.40	$133.59	$133.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.02 / $307.08 / $439.96	Professional		$251.02	$307.08	$439.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.66 / $106.13 / $126.43	Professional	26	$76.66	$106.13	$126.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $174.36 / $200.96 / $313.52	Professional	TC	$174.36	$200.96	$313.52
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $59.27 / $62.73 / $125.46	Professional	26	$59.27	$62.73	$125.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $218.90 / $407.29	Professional		$115.61	$218.90	$407.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.55 / $77.45 / $132.02	Professional	26	$42.55	$77.45	$132.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.06 / $143.53 / $277.73	Professional	TC	$73.06	$143.53	$277.73
United Facility/Professional Professional Modifier Low / Median / High Price $173.74 / $236.57 / $418.53	Professional		$173.74	$236.57	$418.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.99 / $73.16 / $116.75	Professional	26	$53.99	$73.16	$116.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.03 / $150.47 / $282.49	Professional	TC	$112.03	$150.47	$282.49