Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.44 / $110.00 / $120.00	Facility	26	$71.44	$110.00	$120.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.82 / $550.00 / $613.49	Professional		$331.82	$550.00	$613.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.89 / $110.00 / $145.65	Professional	26	$67.89	$110.00	$145.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.93 / $440.00 / $480.00	Professional	TC	$263.93	$440.00	$480.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $157.30 / $157.30 / $157.30	Professional	26	$157.30	$157.30	$157.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.26 / $496.29 / $653.75	Professional		$414.26	$496.29	$653.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.06 / $112.20 / $133.59	Professional	26	$81.06	$112.20	$133.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $333.20 / $384.09 / $520.16	Professional	TC	$333.20	$384.09	$520.16
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $62.95 / $62.95 / $65.72	Professional	26	$62.95	$62.95	$65.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.43 / $405.63 / $736.94	Professional		$207.43	$405.63	$736.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.19 / $81.45 / $140.72	Professional	26	$45.19	$81.45	$140.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.25 / $310.75 / $667.96	Professional	TC	$162.25	$310.75	$667.96
United Facility/Professional Professional Modifier Low / Median / High Price $301.37 / $443.04 / $837.75	Professional		$301.37	$443.04	$837.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.31 / $77.11 / $112.83	Professional	26	$58.31	$77.11	$112.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $243.06 / $359.57 / $664.23	Professional	TC	$243.06	$359.57	$664.23