Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.94 / $60.00 / $92.51	Facility	26	$55.94	$60.00	$92.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.78 / $300.00 / $410.71	Professional		$210.78	$300.00	$410.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $60.00 / $112.07	Professional	26	$50.07	$60.00	$112.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $156.97 / $240.00 / $295.16	Professional	TC	$156.97	$240.00	$295.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.08 / $57.30 / $124.49	Professional	26	$51.08	$57.30	$124.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.06 / $334.29 / $418.83	Professional		$277.06	$334.29	$418.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.42 / $89.19 / $107.19	Professional	26	$64.42	$89.19	$107.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $212.64 / $245.11 / $311.64	Professional	TC	$212.64	$245.11	$311.64
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $49.80 / $49.80 / $52.80	Professional	26	$49.80	$49.80	$52.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $231.34 / $403.80	Professional		$124.57	$231.34	$403.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.76 / $64.87 / $109.55	Professional	26	$35.76	$64.87	$109.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $88.81 / $164.94 / $323.50	Professional	TC	$88.81	$164.94	$323.50
United Facility/Professional Professional Modifier Low / Median / High Price $170.71 / $245.35 / $432.48	Professional		$170.71	$245.35	$432.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.42 / $62.07 / $97.41	Professional	26	$45.42	$62.07	$97.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $124.64 / $183.40 / $333.58	Professional	TC	$124.64	$183.40	$333.58