Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.76 / $110.00 / $174.88	Facility	26	$106.76	$110.00	$174.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.08 / $550.00 / $838.24	Professional		$402.08	$550.00	$838.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.00 / $132.40 / $213.89	Professional	26	$110.00	$132.40	$213.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $282.87 / $419.10 / $490.45	Professional	TC	$282.87	$419.10	$490.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $221.81 / $315.39 / $475.04	Professional		$221.81	$315.39	$475.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $97.49 / $109.49 / $192.93	Professional	26	$97.49	$109.49	$192.93
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $260.20 / $260.20 / $260.20	Professional	TC	$260.20	$260.20	$260.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.33 / $583.16 / $926.85	Professional		$463.33	$583.16	$926.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $121.72 / $168.56 / $206.37	Professional	26	$121.72	$168.56	$206.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $341.61 / $408.37 / $720.48	Professional	TC	$341.61	$408.37	$720.48
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $95.07 / $100.00 / $202.10	Professional	26	$95.07	$100.00	$202.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.54 / $417.67 / $924.72	Professional		$210.54	$417.67	$924.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.23 / $126.73 / $208.99	Professional	26	$68.23	$126.73	$208.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $142.30 / $287.05 / $802.99	Professional	TC	$142.30	$287.05	$802.99
United Facility/Professional Professional Modifier Low / Median / High Price $345.06 / $475.94 / $1,151.09	Professional		$345.06	$475.94	$1,151.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $90.56 / $118.08 / $179.01	Professional	26	$90.56	$118.08	$179.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.60 / $341.68 / $1,021.48	Professional	TC	$245.60	$341.68	$1,021.48