Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.72 / $60.00 / $97.01	Facility	26	$59.72	$60.00	$97.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.66 / $300.00 / $459.18	Professional		$243.66	$300.00	$459.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $60.00 / $119.64	Professional	26	$51.30	$60.00	$119.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $183.82 / $240.00 / $345.83	Professional	TC	$183.82	$240.00	$345.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.64 / $62.84 / $130.62	Professional	26	$54.64	$62.84	$130.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.18 / $381.25 / $493.46	Professional		$317.18	$381.25	$493.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.19 / $93.07 / $111.69	Professional	26	$67.19	$93.07	$111.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $249.99 / $288.18 / $381.79	Professional	TC	$249.99	$288.18	$381.79
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $52.25 / $55.45 / $167.91	Professional	26	$52.25	$55.45	$167.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $288.70 / $526.16	Professional		$155.44	$288.70	$526.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.51 / $68.06 / $116.72	Professional	26	$37.51	$68.06	$116.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.94 / $217.00 / $430.30	Professional	TC	$117.94	$217.00	$430.30
United Facility/Professional Professional Modifier Low / Median / High Price $200.74 / $310.77 / $564.05	Professional		$200.74	$310.77	$564.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.63 / $63.04 / $102.06	Professional	26	$47.63	$63.04	$102.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $152.69 / $235.41 / $448.08	Professional	TC	$152.69	$235.41	$448.08