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 $177.75 / $300.00 / $346.94	Professional		$177.75	$300.00	$346.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $60.00 / $119.64	Professional	26	$51.30	$60.00	$119.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $121.28 / $240.00 / $256.00	Professional	TC	$121.28	$240.00	$256.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.59 / $62.84 / $130.62	Professional	26	$53.59	$62.84	$130.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.72 / $288.82 / $427.74	Professional		$230.72	$288.82	$427.74
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 $163.16 / $195.00 / $315.42	Professional	TC	$163.16	$195.00	$315.42
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 $106.18 / $211.18 / $408.02	Professional		$106.18	$211.18	$408.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.51 / $68.31 / $116.72	Professional	26	$37.51	$68.31	$116.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.67 / $137.24 / $316.66	Professional	TC	$68.67	$137.24	$316.66
United Facility/Professional Professional Modifier Low / Median / High Price $168.04 / $228.68 / $423.34	Professional		$168.04	$228.68	$423.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.92 / $65.05 / $102.07	Professional	26	$47.92	$65.05	$102.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $113.22 / $152.65 / $287.49	Professional	TC	$113.22	$152.65	$287.49