Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.77 / $110.00 / $129.60	Facility	26	$72.77	$110.00	$129.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.50 / $475.00 / $600.00	Professional		$247.50	$475.00	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.29 / $110.00 / $146.32	Professional	26	$69.29	$110.00	$146.32
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $83.43 / $275.00 / $300.00	Professional	52	$83.43	$275.00	$300.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $152.80 / $335.00 / $440.00	Professional	TC	$152.80	$335.00	$440.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.79 / $171.84 / $214.80	Professional		$133.79	$171.84	$214.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.48 / $73.50 / $129.66	Professional	26	$64.48	$73.50	$129.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.70 / $330.96 / $447.38	Professional		$260.70	$330.96	$447.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.61 / $114.32 / $140.38	Professional	26	$82.61	$114.32	$140.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $178.10 / $212.87 / $305.63	Professional	TC	$178.10	$212.87	$305.63
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $63.86 / $67.65 / $102.72	Professional	26	$63.86	$67.65	$102.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.29 / $240.16 / $615.00	Professional		$120.29	$240.16	$615.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.84 / $83.01 / $142.72	Professional	26	$45.84	$83.01	$142.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.45 / $145.34 / $500.79	Professional	TC	$74.45	$145.34	$500.79
United Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $265.04 / $640.92	Professional		$165.00	$265.04	$640.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.47 / $78.20 / $121.55	Professional	26	$59.47	$78.20	$121.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $108.24 / $161.33 / $442.11	Professional	TC	$108.24	$161.33	$442.11