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 $250.00 / $522.50 / $600.00	Professional		$250.00	$522.50	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.10 / $110.00 / $140.00	Professional	26	$62.10	$110.00	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $383.79 / $450.77	Professional	TC	$187.50	$383.79	$450.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.27 / $142.27 / $171.96	Professional		$142.27	$142.27	$171.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $59.39 / $62.09 / $129.06	Professional	26	$59.39	$62.09	$129.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.23 / $369.20 / $630.54	Professional		$299.23	$369.20	$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 $232.83 / $278.27 / $520.16	Professional	TC	$232.83	$278.27	$520.16
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $51.62 / $51.62 / $54.46	Professional	26	$51.62	$51.62	$54.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.66 / $267.88 / $599.29	Professional		$134.66	$267.88	$599.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.06 / $64.95 / $117.57	Professional	26	$37.06	$64.95	$117.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.61 / $205.03 / $513.84	Professional	TC	$97.61	$205.03	$513.84
United Facility/Professional Professional Modifier Low / Median / High Price $226.16 / $300.12 / $684.79	Professional		$226.16	$300.12	$684.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.22 / $63.56 / $98.30	Professional	26	$48.22	$63.56	$98.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.77 / $226.07 / $503.53	Professional	TC	$165.77	$226.07	$503.53