Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.80 / $60.00 / $78.87	Facility	26	$48.80	$60.00	$78.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $265.27 / $320.00	Professional		$140.13	$265.27	$320.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $60.00 / $98.00	Professional	26	$44.14	$60.00	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.04 / $201.03 / $240.00	Professional	TC	$91.04	$201.03	$240.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.26 / $49.20 / $73.54	Professional	26	$43.26	$49.20	$73.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.34 / $216.14 / $314.76	Professional		$176.34	$216.14	$314.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.32 / $76.63 / $91.58	Professional	26	$55.32	$76.63	$91.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $121.02 / $144.10 / $223.17	Professional	TC	$121.02	$144.10	$223.17
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $42.78 / $45.86 / $94.55	Professional	26	$42.78	$45.86	$94.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $161.08 / $338.33	Professional		$81.59	$161.08	$338.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.71 / $52.65 / $95.02	Professional	26	$30.71	$52.65	$95.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.89 / $98.64 / $256.36	Professional	TC	$50.89	$98.64	$256.36
United Facility/Professional Professional Modifier Low / Median / High Price $132.69 / $180.07 / $336.81	Professional		$132.69	$180.07	$336.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.08 / $53.94 / $86.40	Professional	26	$40.08	$53.94	$86.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.66 / $119.13 / $224.45	Professional	TC	$88.66	$119.13	$224.45