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 / $181.97	Facility	26	$109.65	$120.23	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $812.83	Professional		$323.59	$478.63	$812.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $144.54 / $416.87	Professional	26	$97.72	$144.54	$416.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $323.59 / $549.54	Professional	TC	$218.78	$323.59	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $281.84 / $354.81	Professional		$141.25	$281.84	$354.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $107.15 / $169.82	Professional	26	$83.18	$107.15	$169.82
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $158.49 / $162.18	Professional	TC	$158.49	$158.49	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $489.78 / $707.95	Professional		$426.58	$489.78	$707.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $151.36 / $204.17	Professional	26	$125.89	$151.36	$204.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $331.13 / $467.74	Professional	TC	$295.12	$331.13	$467.74
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $104.71 / $169.82	Professional	26	$102.33	$104.71	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $446.68 / $1,148.15	Professional		$234.42	$446.68	$1,148.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $120.23 / $218.78	Professional	26	$77.62	$120.23	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $275.42 / $831.76	Professional	TC	$147.91	$275.42	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $1,148.15	Professional		$288.40	$426.58	$1,148.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $117.49 / $177.83	Professional	26	$91.20	$117.49	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $281.84 / $812.83	Professional	TC	$190.55	$281.84	$812.83