Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.00 / $120.00 / $182.78	Facility	26	$110.00	$120.00	$182.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.08 / $550.00 / $760.69	Professional		$402.08	$550.00	$760.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.97 / $137.52 / $230.20	Professional	26	$108.97	$137.52	$230.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $139.31 / $275.00 / $336.68	Professional	52	$139.31	$275.00	$336.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.19 / $406.56 / $480.00	Professional	TC	$269.19	$406.56	$480.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.58 / $286.05 / $357.56	Professional		$210.58	$286.05	$357.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $99.90 / $114.10 / $200.98	Professional	26	$99.90	$114.10	$200.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $236.13 / $236.13 / $236.13	Professional	TC	$236.13	$236.13	$236.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.83 / $550.32 / $721.08	Professional		$435.83	$550.32	$721.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $126.90 / $175.68 / $214.64	Professional	26	$126.90	$175.68	$214.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $308.93 / $369.29 / $504.79	Professional	TC	$308.93	$369.29	$504.79
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $99.05 / $103.96 / $179.80	Professional	26	$99.05	$103.96	$179.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.23 / $394.59 / $938.37	Professional		$200.23	$394.59	$938.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.09 / $128.13 / $217.94	Professional	26	$71.09	$128.13	$217.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $129.13 / $252.13 / $774.10	Professional	TC	$129.13	$252.13	$774.10
United Facility/Professional Professional Modifier Low / Median / High Price $288.43 / $444.77 / $1,153.83	Professional		$288.43	$444.77	$1,153.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.68 / $120.81 / $180.69	Professional	26	$91.68	$120.81	$180.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.92 / $282.48 / $813.63	Professional	TC	$186.92	$282.48	$813.63