Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.21 / $110.00 / $143.28	Facility	26	$87.21	$110.00	$143.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.48 / $550.00 / $600.00	Professional		$289.48	$550.00	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.53 / $110.00 / $174.72	Professional	26	$83.53	$110.00	$174.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $203.32 / $398.21 / $466.37	Professional	TC	$203.32	$398.21	$466.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $93.47 / $93.47 / $93.47	Professional	26	$93.47	$93.47	$93.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.13 / $460.00 / $599.41	Professional		$379.13	$460.00	$599.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.62 / $137.84 / $163.94	Professional	26	$99.62	$137.84	$163.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $279.51 / $322.16 / $444.20	Professional	TC	$279.51	$322.16	$444.20
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $77.59 / $77.59 / $81.81	Professional	26	$77.59	$77.59	$81.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.26 / $319.91 / $738.15	Professional		$172.26	$319.91	$738.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.69 / $95.47 / $170.57	Professional	26	$55.69	$95.47	$170.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.57 / $216.48 / $615.62	Professional	TC	$116.57	$216.48	$615.62
United Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $373.37 / $779.88	Professional		$239.16	$373.37	$779.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.81 / $99.41 / $147.77	Professional	26	$71.81	$99.41	$147.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $167.35 / $255.15 / $491.13	Professional	TC	$167.35	$255.15	$491.13