Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.90 / $110.00 / $143.93	Facility	26	$87.90	$110.00	$143.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.08 / $550.00 / $816.71	Professional		$402.08	$550.00	$816.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.83 / $120.00 / $176.10	Professional	26	$106.83	$120.00	$176.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $282.87 / $440.00 / $534.47	Professional	TC	$282.87	$440.00	$534.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.51 / $93.00 / $93.00	Professional	26	$80.51	$93.00	$93.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.05 / $576.45 / $1,034.82	Professional		$480.05	$576.45	$1,034.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.59 / $137.91 / $165.22	Professional	26	$99.59	$137.91	$165.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $380.46 / $454.78 / $869.60	Professional	TC	$380.46	$454.78	$869.60
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $77.31 / $77.31 / $81.56	Professional	26	$77.31	$77.31	$81.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.98 / $420.93 / $1,079.41	Professional		$214.98	$420.93	$1,079.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.50 / $97.55 / $173.39	Professional	26	$55.50	$97.55	$173.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $159.47 / $320.06 / $976.72	Professional	TC	$159.47	$320.06	$976.72
United Facility/Professional Professional Modifier Low / Median / High Price $356.31 / $475.08 / $1,127.60	Professional		$356.31	$475.08	$1,127.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.23 / $95.54 / $147.72	Professional	26	$72.23	$95.54	$147.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $267.19 / $372.10 / $820.27	Professional	TC	$267.19	$372.10	$820.27