Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $60.26 / $144.54	Facility	26	$60.26	$60.26	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $501.19	Professional		$218.78	$302.00	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $87.10 / $177.83	Professional	26	$60.26	$87.10	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $213.80 / $371.54	Professional	TC	$151.36	$213.80	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $269.15	Professional		$190.55	$190.55	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $389.05 / $512.86	Professional		$316.23	$389.05	$512.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $117.49 / $151.36	Professional	26	$93.33	$117.49	$151.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $269.15 / $363.08	Professional	TC	$223.87	$269.15	$363.08
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $83.18 / $83.18	Professional	26	$39.81	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $691.83	Professional		$208.93	$338.84	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $93.33 / $169.82	Professional	26	$60.26	$93.33	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $245.47 / $501.19	Professional	TC	$147.91	$245.47	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $645.65	Professional		$245.47	$363.08	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $91.20 / $141.25	Professional	26	$69.18	$91.20	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $257.04 / $489.78	Professional	TC	$177.83	$257.04	$489.78