Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.89 / $110.00 / $142.77	Facility	26	$86.89	$110.00	$142.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $550.00 / $600.00	Professional		$250.00	$550.00	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.08 / $110.00 / $145.65	Professional	26	$69.08	$110.00	$145.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $440.00 / $466.46	Professional	TC	$187.50	$440.00	$466.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.47 / $93.12 / $93.12	Professional	26	$80.47	$93.12	$93.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.22 / $451.98 / $591.95	Professional		$372.22	$451.98	$591.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.25 / $137.34 / $164.67	Professional	26	$99.25	$137.34	$164.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $272.97 / $326.29 / $435.82	Professional	TC	$272.97	$326.29	$435.82
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $77.31 / $77.31 / $81.20	Professional	26	$77.31	$77.31	$81.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.27 / $333.31 / $729.55	Professional		$169.27	$333.31	$729.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.49 / $100.11 / $171.99	Professional	26	$55.49	$100.11	$171.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $113.77 / $222.78 / $615.62	Professional	TC	$113.77	$222.78	$615.62
United Facility/Professional Professional Modifier Low / Median / High Price $241.81 / $378.50 / $760.96	Professional		$241.81	$378.50	$760.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.81 / $96.11 / $153.93	Professional	26	$71.81	$96.11	$153.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $164.56 / $249.91 / $483.80	Professional	TC	$164.56	$249.91	$483.80