Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.45 / $110.00 / $120.00	Facility	26	$72.45	$110.00	$120.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.27 / $550.00 / $781.59	Professional		$349.27	$550.00	$781.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.34 / $110.00 / $152.11	Professional	26	$70.34	$110.00	$152.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $280.73 / $440.00 / $531.26	Professional	TC	$280.73	$440.00	$531.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.19 / $69.51 / $76.50	Professional	26	$66.19	$69.51	$76.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.84 / $550.21 / $1,004.30	Professional		$460.84	$550.21	$1,004.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.24 / $108.01 / $152.86	Professional	26	$82.24	$108.01	$152.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $378.60 / $436.38 / $869.60	Professional	TC	$378.60	$436.38	$869.60
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $63.57 / $63.57 / $67.01	Professional	26	$63.57	$63.57	$67.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.52 / $403.29 / $1,019.00	Professional		$204.52	$403.29	$1,019.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.64 / $84.76 / $158.38	Professional	26	$45.64	$84.76	$158.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.88 / $318.49 / $942.67	Professional	TC	$158.88	$318.49	$942.67
United Facility/Professional Professional Modifier Low / Median / High Price $339.75 / $453.00 / $1,088.38	Professional		$339.75	$453.00	$1,088.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.21 / $83.09 / $136.97	Professional	26	$63.21	$83.09	$136.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $265.29 / $361.62 / $875.74	Professional	TC	$265.29	$361.62	$875.74