Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.45 / $110.00 / $121.00	Facility	26	$72.45	$110.00	$121.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $475.00 / $600.00	Professional		$250.00	$475.00	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.34 / $110.00 / $145.65	Professional	26	$70.34	$110.00	$145.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.53 / $335.00 / $440.00	Professional	TC	$164.53	$335.00	$440.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.57 / $171.56 / $214.45	Professional		$133.57	$171.56	$214.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.48 / $73.50 / $159.59	Professional	26	$64.48	$73.50	$159.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.41 / $329.78 / $446.68	Professional		$259.41	$329.78	$446.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.24 / $113.82 / $139.63	Professional	26	$82.24	$113.82	$139.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.17 / $211.75 / $305.63	Professional	TC	$177.17	$211.75	$305.63
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $63.86 / $67.33 / $68.31	Professional	26	$63.86	$67.33	$68.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.09 / $238.98 / $615.00	Professional		$120.09	$238.98	$615.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.84 / $82.65 / $142.72	Professional	26	$45.84	$82.65	$142.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.25 / $144.58 / $501.65	Professional	TC	$74.25	$144.58	$501.65
United Facility/Professional Professional Modifier Low / Median / High Price $171.28 / $264.61 / $652.09	Professional		$171.28	$264.61	$652.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.47 / $82.11 / $134.44	Professional	26	$59.47	$82.11	$134.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.97 / $160.91 / $442.11	Professional	TC	$107.97	$160.91	$442.11