Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $110.00 / $171.48	Facility	26	$104.71	$110.00	$171.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $550.00 / $856.11	Professional		$425.00	$550.00	$856.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.00 / $124.40 / $171.48	Professional	26	$110.00	$124.40	$171.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $282.87 / $440.00 / $646.29	Professional	TC	$282.87	$440.00	$646.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.51 / $181.51 / $181.51	Professional		$181.51	$181.51	$181.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $107.38 / $112.26 / $189.18	Professional	26	$107.38	$112.26	$189.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $569.26 / $683.93 / $917.21	Professional		$569.26	$683.93	$917.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $119.35 / $165.24 / $196.75	Professional	26	$119.35	$165.24	$196.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $449.91 / $518.69 / $720.48	Professional	TC	$449.91	$518.69	$720.48
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $93.22 / $93.22 / $98.34	Professional	26	$93.22	$93.22	$98.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.11 / $507.17 / $1,025.60	Professional		$254.11	$507.17	$1,025.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.91 / $120.56 / $204.93	Professional	26	$66.91	$120.56	$204.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $187.20 / $367.27 / $806.43	Professional	TC	$187.20	$367.27	$806.43
United Facility/Professional Professional Modifier Low / Median / High Price $365.20 / $557.85 / $1,144.28	Professional		$365.20	$557.85	$1,144.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.63 / $114.08 / $172.84	Professional	26	$85.63	$114.08	$172.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $279.14 / $420.09 / $800.04	Professional	TC	$279.14	$420.09	$800.04