Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.00 / $66.00 / $114.44	Facility	26	$60.00	$66.00	$114.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.88 / $300.00 / $455.36	Professional		$231.88	$300.00	$455.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.00 / $62.40 / $142.26	Professional	26	$60.00	$62.40	$142.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $156.97 / $240.00 / $312.04	Professional	TC	$156.97	$240.00	$312.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.78 / $145.78 / $168.33	Professional		$145.78	$145.78	$168.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $71.15 / $83.44 / $173.39	Professional	26	$71.15	$83.44	$173.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.50 / $368.29 / $522.30	Professional		$301.50	$368.29	$522.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.32 / $115.52 / $136.31	Professional	26	$89.32	$115.52	$136.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $212.18 / $244.58 / $389.36	Professional	TC	$212.18	$244.58	$389.36
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $69.37 / $69.37 / $72.98	Professional	26	$69.37	$69.37	$72.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.62 / $265.74 / $488.17	Professional		$138.62	$265.74	$488.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.81 / $85.38 / $149.47	Professional	26	$49.81	$85.38	$149.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $88.81 / $175.40 / $340.03	Professional	TC	$88.81	$175.40	$340.03
United Facility/Professional Professional Modifier Low / Median / High Price $204.19 / $285.38 / $530.22	Professional		$204.19	$285.38	$530.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.49 / $85.87 / $130.59	Professional	26	$56.49	$85.87	$130.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $140.50 / $190.08 / $352.91	Professional	TC	$140.50	$190.08	$352.91