Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $64.57 / $97.72	Facility	26	$60.26	$64.57	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $457.09	Professional		$204.17	$275.42	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $61.66 / $128.82	Professional	26	$51.29	$61.66	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $213.80 / $363.08	Professional	TC	$158.49	$213.80	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $213.80 / $218.78	Professional		$208.93	$213.80	$218.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $46.77 / $81.28	Professional	26	$43.65	$46.77	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $457.09	Professional		$288.40	$346.74	$457.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $79.43 / $102.33	Professional	26	$63.10	$79.43	$102.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $269.15 / $354.81	Professional	TC	$229.09	$269.15	$354.81
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $56.23 / $169.82	Professional	26	$53.70	$56.23	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $309.03 / $549.54	Professional		$177.83	$309.03	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $63.10 / $117.49	Professional	26	$40.74	$63.10	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $218.78 / $436.52	Professional	TC	$131.83	$218.78	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $524.81	Professional		$199.53	$302.00	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $63.10 / $97.72	Professional	26	$46.77	$63.10	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $223.87 / $416.87	Professional	TC	$151.36	$223.87	$416.87