Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.72 / $60.00 / $97.01	Facility	26	$59.72	$60.00	$97.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.05 / $300.00 / $346.94	Professional		$177.05	$300.00	$346.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.29 / $60.00 / $119.64	Professional	26	$49.29	$60.00	$119.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.56 / $240.00 / $256.00	Professional	TC	$120.56	$240.00	$256.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.59 / $54.64 / $106.12	Professional	26	$53.59	$54.64	$106.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.25 / $281.05 / $429.01	Professional		$230.25	$281.05	$429.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.56 / $93.56 / $112.31	Professional	26	$67.56	$93.56	$112.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.69 / $187.49 / $316.70	Professional	TC	$162.69	$187.49	$316.70
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $52.25 / $52.25 / $55.45	Professional	26	$52.25	$52.25	$55.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.78 / $206.29 / $422.62	Professional		$105.78	$206.29	$422.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.51 / $64.31 / $116.72	Professional	26	$37.51	$64.31	$116.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.27 / $133.34 / $318.44	Professional	TC	$68.27	$133.34	$318.44
United Facility/Professional Professional Modifier Low / Median / High Price $168.30 / $226.94 / $422.59	Professional		$168.30	$226.94	$422.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.63 / $65.05 / $105.24	Professional	26	$47.63	$65.05	$105.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $108.86 / $151.68 / $288.10	Professional	TC	$108.86	$151.68	$288.10