Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.02 / $110.00 / $120.00	Facility	26	$59.02	$110.00	$120.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.23 / $475.00 / $600.00	Professional		$251.23	$475.00	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.70 / $110.00 / $140.00	Professional	26	$65.70	$110.00	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $215.80 / $335.00 / $440.00	Professional	TC	$215.80	$335.00	$440.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.72 / $141.84 / $163.05	Professional		$85.72	$141.84	$163.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.91 / $59.06 / $88.25	Professional	26	$51.91	$59.06	$88.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.77 / $368.13 / $630.54	Professional		$298.77	$368.13	$630.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.40 / $91.94 / $110.39	Professional	26	$66.40	$91.94	$110.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $232.37 / $277.70 / $520.16	Professional	TC	$232.37	$277.70	$520.16
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $51.34 / $54.46 / $177.53	Professional	26	$51.34	$54.46	$177.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.28 / $266.88 / $600.40	Professional		$134.28	$266.88	$600.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.86 / $64.95 / $117.57	Professional	26	$36.86	$64.95	$117.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.42 / $204.03 / $513.84	Professional	TC	$97.42	$204.03	$513.84
United Facility/Professional Professional Modifier Low / Median / High Price $224.12 / $298.82 / $680.54	Professional		$224.12	$298.82	$680.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.23 / $63.19 / $92.37	Professional	26	$48.23	$63.19	$92.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $163.27 / $225.20 / $509.05	Professional	TC	$163.27	$225.20	$509.05