Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.00 / $69.12 / $145.09	Facility	26	$60.00	$69.12	$145.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.91 / $320.00 / $517.46	Professional		$272.91	$320.00	$517.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.00 / $86.01 / $182.31	Professional	26	$60.00	$86.01	$182.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $183.78 / $240.00 / $354.31	Professional	TC	$183.78	$240.00	$354.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.45 / $82.27 / $159.43	Professional	26	$64.45	$82.27	$159.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.95 / $427.85 / $669.21	Professional		$350.95	$427.85	$669.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.85 / $139.60 / $176.23	Professional	26	$100.85	$139.60	$176.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $250.10 / $288.25 / $492.98	Professional	TC	$250.10	$288.25	$492.98
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $78.56 / $82.50 / $121.60	Professional	26	$78.56	$82.50	$121.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.56 / $315.98 / $627.45	Professional		$176.56	$315.98	$627.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.40 / $96.68 / $173.34	Professional	26	$56.40	$96.68	$173.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.16 / $217.65 / $441.97	Professional	TC	$120.16	$217.65	$441.97
United Facility/Professional Professional Modifier Low / Median / High Price $246.27 / $354.77 / $655.15	Professional		$246.27	$354.77	$655.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.61 / $101.31 / $162.81	Professional	26	$72.61	$101.31	$162.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.21 / $254.24 / $449.58	Professional	TC	$151.21	$254.24	$449.58