Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.00 / $64.00 / $142.99	Facility	26	$60.00	$64.00	$142.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.95 / $300.00 / $513.26	Professional		$219.95	$300.00	$513.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.00 / $70.23 / $128.65	Professional	26	$60.00	$70.23	$128.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $149.71 / $240.00 / $355.12	Professional	TC	$149.71	$240.00	$355.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $193.25 / $193.25 / $193.25	Professional	26	$193.25	$193.25	$193.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.85 / $425.17 / $681.07	Professional		$348.85	$425.17	$681.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.32 / $137.53 / $165.97	Professional	26	$99.32	$137.53	$165.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $249.53 / $287.64 / $515.11	Professional	TC	$249.53	$287.64	$515.11
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $77.40 / $77.40 / $81.53	Professional	26	$77.40	$77.40	$81.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.09 / $342.66 / $657.79	Professional		$190.09	$342.66	$657.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.57 / $95.27 / $170.83	Professional	26	$55.57	$95.27	$170.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.52 / $245.00 / $485.73	Professional	TC	$134.52	$245.00	$485.73
United Facility/Professional Professional Modifier Low / Median / High Price $231.88 / $376.84 / $696.60	Professional		$231.88	$376.84	$696.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.17 / $96.98 / $153.44	Professional	26	$71.17	$96.98	$153.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $176.55 / $263.18 / $494.10	Professional	TC	$176.55	$263.18	$494.10