Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.00 / $114.44 / $171.40	Facility	26	$110.00	$114.44	$171.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.08 / $550.00 / $677.97	Professional		$402.08	$550.00	$677.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.00 / $138.34 / $229.02	Professional	26	$110.00	$138.34	$229.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $270.02 / $375.25 / $480.00	Professional	TC	$270.02	$375.25	$480.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.61 / $286.89 / $358.63	Professional		$105.61	$286.89	$358.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $100.18 / $114.44 / $201.58	Professional	26	$100.18	$114.44	$201.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.06 / $552.97 / $721.72	Professional		$438.06	$552.97	$721.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $127.27 / $176.19 / $214.64	Professional	26	$127.27	$176.19	$214.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $310.79 / $371.50 / $505.43	Professional	TC	$310.79	$371.50	$505.43
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $99.34 / $104.28 / $181.86	Professional	26	$99.34	$104.28	$181.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.83 / $396.77 / $945.29	Professional		$200.83	$396.77	$945.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.30 / $128.13 / $217.94	Professional	26	$71.30	$128.13	$217.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $129.53 / $253.66 / $760.74	Professional	TC	$129.53	$253.66	$760.74
United Facility/Professional Professional Modifier Low / Median / High Price $288.69 / $430.86 / $1,185.81	Professional		$288.69	$430.86	$1,185.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.68 / $123.48 / $197.62	Professional	26	$91.68	$123.48	$197.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $188.19 / $285.70 / $810.82	Professional	TC	$188.19	$285.70	$810.82