Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $120.23 / $190.55	Facility	26	$109.65	$120.23	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $478.63 / $1,000.00	Professional		$275.42	$478.63	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $141.25 / $478.63	Professional	26	$95.50	$141.25	$478.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $338.84 / $602.56	Professional	TC	$229.09	$338.84	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $363.08	Professional		$223.87	$281.84	$363.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $97.72 / $147.91	Professional	26	$79.43	$97.72	$147.91
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $177.83 / $263.03	Professional	TC	$151.36	$177.83	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $524.81 / $776.25	Professional		$467.74	$524.81	$776.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $144.54 / $194.98	Professional	26	$123.03	$144.54	$194.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $363.08 / $588.84	Professional	TC	$338.84	$363.08	$588.84
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $100.00 / $204.17	Professional	26	$97.72	$100.00	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $446.68 / $954.99	Professional		$239.88	$446.68	$954.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $114.82 / $208.93	Professional	26	$74.13	$114.82	$208.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $316.23 / $870.96	Professional	TC	$165.96	$316.23	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $1,122.02	Professional		$338.84	$467.74	$1,122.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $112.20 / $169.82	Professional	26	$89.13	$112.20	$169.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $316.23 / $794.33	Professional	TC	$239.88	$316.23	$794.33