Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $66.07 / $128.82	Facility	26	$60.26	$66.07	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $512.86	Professional		$213.80	$288.40	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $81.28 / $181.97	Professional	26	$60.26	$81.28	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $204.17 / $338.84	Professional	TC	$138.04	$204.17	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $186.21	Professional		$144.54	$169.82	$186.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $70.79 / $95.50	Professional	26	$56.23	$70.79	$95.50
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $97.72 / $97.72	Professional	TC	$97.72	$97.72	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $457.09	Professional		$275.42	$338.84	$457.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $104.71 / $134.90	Professional	26	$83.18	$104.71	$134.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $223.87 / $309.03	Professional	TC	$190.55	$223.87	$309.03
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $74.13 / $151.36	Professional	26	$70.79	$74.13	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $275.42 / $524.81	Professional		$162.18	$275.42	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $83.18 / $147.91	Professional	26	$51.29	$83.18	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $186.21 / $363.08	Professional	TC	$102.33	$186.21	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $501.19	Professional		$204.17	$275.42	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $83.18 / $125.89	Professional	26	$56.23	$83.18	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $181.97 / $331.13	Professional	TC	$138.04	$181.97	$331.13