Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.45 / $110.00 / $120.00	Facility	26	$73.45	$110.00	$120.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.86 / $550.00 / $600.00	Professional		$255.86	$550.00	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.56 / $110.00 / $147.16	Professional	26	$69.56	$110.00	$147.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $385.24 / $440.00	Professional	TC	$187.50	$385.24	$440.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $67.47 / $74.22 / $74.22	Professional	26	$67.47	$74.22	$74.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.58 / $410.70 / $761.99	Professional		$339.58	$410.70	$761.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.41 / $101.59 / $127.21	Professional	26	$83.41	$101.59	$127.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $256.17 / $295.25 / $651.60	Professional	TC	$256.17	$295.25	$651.60
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $64.48 / $64.48 / $68.00	Professional	26	$64.48	$64.48	$68.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.88 / $301.01 / $623.29	Professional		$153.88	$301.01	$623.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.29 / $75.83 / $143.65	Professional	26	$46.29	$75.83	$143.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.59 / $217.08 / $513.84	Professional	TC	$107.59	$217.08	$513.84
United Facility/Professional Professional Modifier Low / Median / High Price $251.40 / $335.20 / $716.59	Professional		$251.40	$335.20	$716.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.00 / $76.87 / $108.58	Professional	26	$50.00	$76.87	$108.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $178.23 / $242.95 / $543.77	Professional	TC	$178.23	$242.95	$543.77