Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.45 / $110.00 / $121.00	Facility	26	$66.45	$110.00	$121.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.87 / $550.00 / $677.68	Professional		$371.87	$550.00	$677.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.20 / $110.00 / $140.00	Professional	26	$81.20	$110.00	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $255.80 / $419.27 / $480.00	Professional	TC	$255.80	$419.27	$480.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.66 / $197.66 / $197.66	Professional		$197.66	$197.66	$197.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.94 / $59.82 / $70.18	Professional	26	$58.94	$59.82	$70.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.66 / $488.54 / $644.01	Professional		$408.66	$488.54	$644.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.45 / $104.45 / $123.85	Professional	26	$75.45	$104.45	$123.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $333.20 / $384.09 / $520.16	Professional	TC	$333.20	$384.09	$520.16
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $58.34 / $58.34 / $62.04	Professional	26	$58.34	$58.34	$62.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.57 / $365.17 / $715.74	Professional		$186.57	$365.17	$715.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.88 / $75.23 / $130.41	Professional	26	$41.88	$75.23	$130.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.69 / $284.54 / $594.77	Professional	TC	$144.69	$284.54	$594.77
United Facility/Professional Professional Modifier Low / Median / High Price $266.64 / $407.91 / $716.74	Professional		$266.64	$407.91	$716.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.14 / $72.06 / $116.61	Professional	26	$54.14	$72.06	$116.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $211.56 / $322.26 / $602.14	Professional	TC	$211.56	$322.26	$602.14