Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.64 / $64.00 / $93.02	Facility	26	$57.64	$64.00	$93.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.28 / $300.00 / $361.82	Professional		$180.28	$300.00	$361.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.67 / $60.00 / $122.08	Professional	26	$53.67	$60.00	$122.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.49 / $240.00 / $259.17	Professional	TC	$123.49	$240.00	$259.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $145.36 / $215.56	Professional		$58.82	$145.36	$215.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.32 / $57.64 / $86.04	Professional	26	$47.32	$57.64	$86.04
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $31.39 / $31.39 / $31.39	Professional	TC	$31.39	$31.39	$31.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.41 / $283.58 / $429.03	Professional		$228.41	$283.58	$429.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.79 / $89.68 / $114.25	Professional	26	$64.79	$89.68	$114.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $163.62 / $195.56 / $314.79	Professional	TC	$163.62	$195.56	$314.79
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $50.09 / $53.11 / $62.31	Professional	26	$50.09	$53.11	$62.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.62 / $202.57 / $408.05	Professional		$104.62	$202.57	$408.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.95 / $66.77 / $111.77	Professional	26	$35.95	$66.77	$111.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.67 / $133.72 / $314.58	Professional	TC	$68.67	$133.72	$314.58
United Facility/Professional Professional Modifier Low / Median / High Price $168.62 / $229.91 / $424.18	Professional		$168.62	$229.91	$424.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.47 / $65.51 / $104.06	Professional	26	$48.47	$65.51	$104.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.03 / $152.91 / $292.20	Professional	TC	$115.03	$152.91	$292.20