Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $117.49 / $120.23	Facility	26	$109.65	$117.49	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $851.14	Professional		$331.13	$478.63	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $117.49 / $229.09	Professional	26	$67.61	$117.49	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $338.84 / $660.69	Professional	TC	$251.19	$338.84	$660.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $64.57 / $75.86	Professional	26	$52.48	$64.57	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $891.25	Professional		$416.87	$512.86	$891.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $100.00 / $147.91	Professional	26	$77.62	$100.00	$147.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $407.38 / $724.44	Professional	TC	$346.74	$407.38	$724.44
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $67.61 / $67.61	Professional	26	$39.81	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $457.09 / $1,096.48	Professional		$234.42	$457.09	$1,096.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $81.28 / $162.18	Professional	26	$50.12	$81.28	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $354.81 / $977.24	Professional	TC	$181.97	$354.81	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $1,047.13	Professional		$323.59	$457.09	$1,047.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $79.43 / $128.82	Professional	26	$63.10	$79.43	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $363.08 / $776.25	Professional	TC	$257.04	$363.08	$776.25