Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.76 / $110.00 / $129.60	Facility	26	$71.76	$110.00	$129.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.68 / $478.17 / $600.00	Professional		$303.68	$478.17	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.79 / $110.00 / $145.65	Professional	26	$87.79	$110.00	$145.65
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $101.11 / $275.00 / $300.00	Professional	52	$101.11	$275.00	$300.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $215.89 / $335.00 / $440.00	Professional	TC	$215.89	$335.00	$440.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.40 / $158.40 / $158.40	Professional		$158.40	$158.40	$158.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.87 / $72.45 / $157.30	Professional	26	$65.87	$72.45	$157.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.55 / $394.13 / $655.87	Professional		$315.55	$394.13	$655.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.43 / $112.69 / $135.71	Professional	26	$81.43	$112.69	$135.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $234.12 / $279.87 / $520.16	Professional	TC	$234.12	$279.87	$520.16
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $62.95 / $62.95 / $66.03	Professional	26	$62.95	$62.95	$66.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.58 / $283.82 / $598.44	Professional		$142.58	$283.82	$598.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.19 / $81.83 / $140.72	Professional	26	$45.19	$81.83	$140.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.39 / $196.97 / $506.76	Professional	TC	$97.39	$196.97	$506.76
United Facility/Professional Professional Modifier Low / Median / High Price $235.34 / $324.37 / $675.83	Professional		$235.34	$324.37	$675.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.75 / $78.39 / $119.24	Professional	26	$58.75	$78.39	$119.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $171.89 / $234.29 / $472.24	Professional	TC	$171.89	$234.29	$472.24