Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.00 / $62.62 / $101.59	Facility	26	$60.00	$62.62	$101.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.15 / $300.00 / $383.66	Professional		$207.15	$300.00	$383.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.59 / $60.00 / $92.28	Professional	26	$51.59	$60.00	$92.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $148.50 / $240.00 / $325.76	Professional	TC	$148.50	$240.00	$325.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.47 / $65.47 / $110.46	Professional	26	$65.47	$65.47	$110.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.83 / $329.63 / $510.59	Professional		$271.83	$329.63	$510.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.39 / $97.45 / $116.17	Professional	26	$70.39	$97.45	$116.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $201.44 / $232.18 / $394.42	Professional	TC	$201.44	$232.18	$394.42
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $54.41 / $54.41 / $57.44	Professional	26	$54.41	$54.41	$57.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.09 / $246.47 / $487.50	Professional		$123.09	$246.47	$487.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.07 / $71.09 / $122.30	Professional	26	$39.07	$71.09	$122.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.03 / $169.46 / $392.96	Professional	TC	$84.03	$169.46	$392.96
United Facility/Professional Professional Modifier Low / Median / High Price $197.86 / $267.70 / $501.15	Professional		$197.86	$267.70	$501.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.83 / $68.06 / $108.90	Professional	26	$49.83	$68.06	$108.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $145.03 / $201.82 / $354.74	Professional	TC	$145.03	$201.82	$354.74