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 / $123.34	Facility	26	$60.00	$66.00	$123.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.41 / $320.00 / $507.99	Professional		$269.41	$320.00	$507.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.00 / $80.31 / $170.71	Professional	26	$60.00	$80.31	$170.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $183.78 / $240.00 / $354.31	Professional	TC	$183.78	$240.00	$354.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.95 / $86.52 / $91.47	Professional	26	$75.95	$86.52	$91.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.94 / $422.34 / $675.84	Professional		$346.94	$422.34	$675.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.84 / $134.09 / $160.72	Professional	26	$96.84	$134.09	$160.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $250.10 / $288.25 / $515.11	Professional	TC	$250.10	$288.25	$515.11
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $75.18 / $75.18 / $79.23	Professional	26	$75.18	$75.18	$79.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.93 / $310.08 / $644.17	Professional		$172.93	$310.08	$644.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.97 / $93.00 / $166.68	Professional	26	$53.97	$93.00	$166.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $118.96 / $217.00 / $487.18	Professional	TC	$118.96	$217.00	$487.18
United Facility/Professional Professional Modifier Low / Median / High Price $247.04 / $347.14 / $641.26	Professional		$247.04	$347.14	$641.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.95 / $93.30 / $150.97	Professional	26	$68.95	$93.30	$150.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $149.18 / $254.22 / $497.42	Professional	TC	$149.18	$254.22	$497.42