Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.89 / $110.00 / $142.77	Facility	26	$86.89	$110.00	$142.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.87 / $550.00 / $600.00	Professional		$284.87	$550.00	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.81 / $110.00 / $174.08	Professional	26	$82.81	$110.00	$174.08
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $118.14 / $275.00 / $300.00	Professional	52	$118.14	$275.00	$300.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $202.06 / $385.92 / $451.98	Professional	TC	$202.06	$385.92	$451.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.48 / $92.26 / $191.67	Professional	26	$77.48	$92.26	$191.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.75 / $451.42 / $597.63	Professional		$371.75	$451.42	$597.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $98.78 / $136.78 / $164.67	Professional	26	$98.78	$136.78	$164.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $272.97 / $314.64 / $441.62	Professional	TC	$272.97	$314.64	$441.62
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $76.68 / $76.68 / $80.89	Professional	26	$76.68	$76.68	$80.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.42 / $331.80 / $728.96	Professional		$169.42	$331.80	$728.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.05 / $100.11 / $171.99	Professional	26	$55.05	$100.11	$171.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.37 / $222.78 / $615.62	Professional	TC	$114.37	$222.78	$615.62
United Facility/Professional Professional Modifier Low / Median / High Price $235.26 / $360.98 / $767.69	Professional		$235.26	$360.98	$767.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.40 / $95.14 / $146.10	Professional	26	$71.40	$95.14	$146.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $164.05 / $247.91 / $482.99	Professional	TC	$164.05	$247.91	$482.99