Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.07 / $119.12 / $150.75	Facility	26	$104.07	$119.12	$150.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.08 / $550.00 / $839.04	Professional		$402.08	$550.00	$839.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.00 / $128.22 / $208.50	Professional	26	$110.00	$128.22	$208.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $282.87 / $440.00 / $496.92	Professional	TC	$282.87	$440.00	$496.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $378.21 / $378.21 / $378.21	Professional		$378.21	$378.21	$378.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $106.32 / $107.05 / $232.10	Professional	26	$106.32	$107.05	$232.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.64 / $565.52 / $904.58	Professional		$466.64	$565.52	$904.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $118.97 / $164.74 / $196.12	Professional	26	$118.97	$164.74	$196.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $347.67 / $400.78 / $708.48	Professional	TC	$347.67	$400.78	$708.48
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $92.94 / $92.94 / $97.70	Professional	26	$92.94	$92.94	$97.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.80 / $418.15 / $915.69	Professional		$211.80	$418.15	$915.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.70 / $119.95 / $203.72	Professional	26	$66.70	$119.95	$203.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $145.09 / $290.83 / $794.79	Professional	TC	$145.09	$290.83	$794.79
United Facility/Professional Professional Modifier Low / Median / High Price $344.12 / $462.78 / $1,122.14	Professional		$344.12	$462.78	$1,122.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.80 / $113.77 / $174.96	Professional	26	$85.80	$113.77	$174.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $247.65 / $343.43 / $792.70	Professional	TC	$247.65	$343.43	$792.70