Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.00 / $111.37 / $170.44	Facility	26	$110.00	$111.37	$170.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.08 / $550.00 / $678.14	Professional		$402.08	$550.00	$678.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.00 / $138.34 / $223.51	Professional	26	$110.00	$138.34	$223.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $270.86 / $376.40 / $480.00	Professional	TC	$270.86	$376.40	$480.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.65 / $287.47 / $359.34	Professional		$211.65	$287.47	$359.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $104.04 / $114.44 / $201.58	Professional	26	$104.04	$114.44	$201.58
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $157.77 / $157.77 / $157.77	Professional	TC	$157.77	$157.77	$157.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.00 / $555.35 / $720.70	Professional		$439.00	$555.35	$720.70
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 $311.73 / $372.64 / $506.08	Professional	TC	$311.73	$372.64	$506.08
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $99.34 / $104.28 / $171.25	Professional	26	$99.34	$104.28	$171.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.23 / $373.71 / $989.03	Professional		$201.23	$373.71	$989.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.30 / $122.23 / $217.94	Professional	26	$71.30	$122.23	$217.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $129.93 / $241.30 / $705.99	Professional	TC	$129.93	$241.30	$705.99
United Facility/Professional Professional Modifier Low / Median / High Price $280.38 / $449.10 / $1,161.85	Professional		$280.38	$449.10	$1,161.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.68 / $120.77 / $188.00	Professional	26	$91.68	$120.77	$188.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $188.70 / $286.49 / $810.82	Professional	TC	$188.70	$286.49	$810.82