Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $120.23 / $120.23	Facility	26	$109.65	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $616.60	Professional		$251.19	$426.58	$616.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $109.65 / $177.83	Professional	26	$70.79	$109.65	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $295.12 / $478.63	Professional	TC	$181.97	$295.12	$478.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $66.07 / $120.23	Professional	26	$53.70	$66.07	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $371.54 / $630.96	Professional		$338.84	$371.54	$630.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $95.50 / $120.23	Professional	26	$74.13	$95.50	$120.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $275.42 / $537.03	Professional	TC	$257.04	$275.42	$537.03
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $69.18 / $69.18	Professional	26	$39.81	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $354.81 / $741.31	Professional		$173.78	$354.81	$741.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $75.86 / $144.54	Professional	26	$46.77	$75.86	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $251.19 / $660.69	Professional	TC	$123.03	$251.19	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $331.13 / $616.60	Professional		$239.88	$331.13	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $74.13 / $102.33	Professional	26	$48.98	$74.13	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $245.47 / $501.19	Professional	TC	$173.78	$245.47	$501.19