Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $64.57 / $100.00	Facility	26	$60.26	$64.57	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $446.68	Professional		$181.97	$275.42	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $66.07 / $169.82	Professional	26	$51.29	$66.07	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $190.55 / $346.74	Professional	TC	$123.03	$190.55	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $147.91 / $181.97	Professional		$57.54	$147.91	$181.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $47.86 / $102.33	Professional	26	$43.65	$47.86	$102.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $102.33 / $204.17	Professional	TC	$38.90	$102.33	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $436.52	Professional		$245.47	$302.00	$436.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $83.18 / $117.49	Professional	26	$64.57	$83.18	$117.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $213.80 / $309.03	Professional	TC	$181.97	$213.80	$309.03
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $57.54 / $186.21	Professional	26	$54.95	$57.54	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $501.19	Professional		$144.54	$263.03	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $70.79 / $125.89	Professional	26	$42.66	$70.79	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $181.97 / $398.11	Professional	TC	$95.50	$181.97	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $501.19	Professional		$199.53	$269.15	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $70.79 / $112.20	Professional	26	$53.70	$70.79	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $181.97 / $346.74	Professional	TC	$138.04	$181.97	$346.74