Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.00 / $69.12 / $140.02	Facility	26	$60.00	$69.12	$140.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.41 / $320.00 / $510.67	Professional		$269.41	$320.00	$510.67
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 / $152.65	Professional	26	$75.95	$86.52	$152.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.94 / $422.34 / $675.21	Professional		$346.94	$422.34	$675.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.84 / $134.09 / $160.10	Professional	26	$96.84	$134.09	$160.10
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 $172.73 / $320.77 / $643.41	Professional		$172.73	$320.77	$643.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.97 / $92.52 / $166.68	Professional	26	$53.97	$92.52	$166.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $118.76 / $220.55 / $487.18	Professional	TC	$118.76	$220.55	$487.18
United Facility/Professional Professional Modifier Low / Median / High Price $240.79 / $346.73 / $646.45	Professional		$240.79	$346.73	$646.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.88 / $94.43 / $148.79	Professional	26	$68.88	$94.43	$148.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $148.93 / $238.98 / $480.60	Professional	TC	$148.93	$238.98	$480.60