Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.98 / $110.00 / $121.00	Facility	26	$66.98	$110.00	$121.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $475.00 / $867.00	Professional		$250.00	$475.00	$867.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.51 / $110.00 / $140.00	Professional	26	$77.51	$110.00	$140.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $88.21 / $275.00 / $300.00	Professional	52	$88.21	$275.00	$300.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $179.39 / $335.00 / $440.00	Professional	TC	$179.39	$335.00	$440.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.66 / $182.17 / $190.99	Professional		$141.66	$182.17	$190.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.94 / $67.13 / $118.49	Professional	26	$58.94	$67.13	$118.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.77 / $338.80 / $456.68	Professional		$278.77	$338.80	$456.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.45 / $104.45 / $126.73	Professional	26	$75.45	$104.45	$126.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $203.31 / $243.03 / $336.56	Professional	TC	$203.31	$243.03	$336.56
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $58.34 / $62.36 / $115.72	Professional	26	$58.34	$62.36	$115.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.52 / $248.51 / $588.11	Professional		$127.52	$248.51	$588.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.88 / $76.20 / $131.02	Professional	26	$41.88	$76.20	$131.02
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $301.29 / $301.29 / $301.29	Professional	50	$301.29	$301.29	$301.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.65 / $165.93 / $430.50	Professional	TC	$85.65	$165.93	$430.50
United Facility/Professional Professional Modifier Low / Median / High Price $173.98 / $271.38 / $645.01	Professional		$173.98	$271.38	$645.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.38 / $73.16 / $110.50	Professional	26	$54.38	$73.16	$110.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $119.60 / $182.00 / $417.88	Professional	TC	$119.60	$182.00	$417.88