Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $112.20 / $181.97	Facility	26	$109.65	$112.20	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $1,096.48	Professional		$389.05	$549.54	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $138.04 / $275.42	Professional	26	$102.33	$138.04	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $416.87 / $758.58	Professional	TC	$295.12	$416.87	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $512.86	Professional		$407.38	$407.38	$512.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $81.28 / $128.82	Professional	26	$81.28	$81.28	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $933.25	Professional		$602.56	$707.95	$933.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $147.91 / $194.98	Professional	26	$125.89	$147.91	$194.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $478.63 / $562.34 / $707.95	Professional	TC	$478.63	$562.34	$707.95
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $102.33 / $102.33	Professional	26	$39.81	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $588.84 / $1,202.26	Professional		$338.84	$588.84	$1,202.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $117.49 / $218.78	Professional	26	$75.86	$117.49	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $426.58 / $1,000.00	Professional	TC	$257.04	$426.58	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $1,174.90	Professional		$426.58	$630.96	$1,174.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $114.82 / $173.78	Professional	26	$89.13	$114.82	$173.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $489.78 / $933.25	Professional	TC	$331.13	$489.78	$933.25