Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $109.65 / $128.82	Facility	26	$83.18	$109.65	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $407.38 / $707.95	Professional		$194.98	$407.38	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $109.65 / $309.03	Professional	26	$67.61	$109.65	$309.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $199.53 / $199.53 / $199.53	Professional	52	$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $251.19 / $446.68	Professional	TC	$123.03	$251.19	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $213.80	Professional		$128.82	$162.18	$213.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $58.88 / $109.65	Professional	26	$52.48	$58.88	$109.65
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $93.33 / $104.71	Professional	TC	$79.43	$93.33	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $295.12 / $416.87	Professional		$257.04	$295.12	$416.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $97.72 / $134.90	Professional	26	$83.18	$97.72	$134.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $190.55 / $269.15	Professional	TC	$165.96	$190.55	$269.15
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $67.61 / $102.33	Professional	26	$66.07	$67.61	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $263.03 / $616.60	Professional		$141.25	$263.03	$616.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $77.62 / $154.88	Professional	26	$50.12	$77.62	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $158.49 / $512.86	Professional	TC	$85.11	$158.49	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $616.60	Professional		$177.83	$257.04	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $75.86 / $114.82	Professional	26	$58.88	$75.86	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $158.49 / $398.11	Professional	TC	$107.15	$158.49	$398.11