Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $120.23 / $151.36	Facility	26	$109.65	$120.23	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $1,023.29	Professional		$331.13	$501.19	$1,023.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $141.25 / $446.68	Professional	26	$97.72	$141.25	$446.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $338.84 / $602.56	Professional	TC	$245.47	$338.84	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $288.40 / $371.54	Professional		$134.90	$288.40	$371.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $97.72 / $128.82	Professional	26	$75.86	$97.72	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $512.86 / $758.58	Professional		$457.09	$512.86	$758.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $141.25 / $181.97	Professional	26	$117.49	$141.25	$181.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $371.54 / $575.44	Professional	TC	$331.13	$371.54	$575.44
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $97.72 / $97.72	Professional	26	$39.81	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $457.09 / $933.25	Professional		$239.88	$457.09	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $112.20 / $204.17	Professional	26	$72.44	$112.20	$204.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $323.59 / $870.96	Professional	TC	$165.96	$323.59	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $1,122.02	Professional		$338.84	$457.09	$1,122.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $109.65 / $162.18	Professional	26	$85.11	$109.65	$162.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $316.23 / $794.33	Professional	TC	$239.88	$316.23	$794.33