Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $120.23 / $141.25	Facility	26	$109.65	$120.23	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $645.65	Professional		$263.03	$426.58	$645.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $117.49 / $213.80	Professional	26	$83.18	$117.49	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $302.00 / $467.74	Professional	TC	$190.55	$302.00	$467.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $64.57 / $77.62	Professional	26	$64.57	$64.57	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $562.34	Professional		$354.81	$407.38	$562.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $117.49 / $151.36	Professional	26	$100.00	$117.49	$151.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $288.40 / $407.38	Professional	TC	$257.04	$288.40	$407.38
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $81.28 / $81.28	Professional	26	$39.81	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $363.08 / $741.31	Professional		$199.53	$363.08	$741.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $93.33 / $173.78	Professional	26	$60.26	$93.33	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $239.88 / $616.60	Professional	TC	$131.83	$239.88	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $741.31	Professional		$239.88	$363.08	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $91.20 / $138.04	Professional	26	$70.79	$91.20	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $245.47 / $478.63	Professional	TC	$165.96	$245.47	$478.63