Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.06 / $110.00 / $129.63	Facility	26	$80.06	$110.00	$129.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.62 / $550.00 / $663.15	Professional		$394.62	$550.00	$663.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.70 / $117.60 / $160.41	Professional	26	$96.70	$117.60	$160.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $282.87 / $414.06 / $493.16	Professional	TC	$282.87	$414.06	$493.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $71.72 / $71.72 / $142.07	Professional	26	$71.72	$71.72	$142.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.31 / $522.75 / $698.42	Professional		$435.31	$522.75	$698.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.44 / $125.20 / $149.83	Professional	26	$90.44	$125.20	$149.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $344.87 / $397.55 / $548.61	Professional	TC	$344.87	$397.55	$548.61
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $69.94 / $69.94 / $74.26	Professional	26	$69.94	$69.94	$74.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.10 / $387.12 / $747.74	Professional		$193.10	$387.12	$747.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.21 / $91.09 / $156.47	Professional	26	$50.21	$91.09	$156.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $142.90 / $281.49 / $604.41	Professional	TC	$142.90	$281.49	$604.41
United Facility/Professional Professional Modifier Low / Median / High Price $283.82 / $422.55 / $771.13	Professional		$283.82	$422.55	$771.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.01 / $86.59 / $125.81	Professional	26	$65.01	$86.59	$125.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $211.31 / $325.02 / $601.11	Professional	TC	$211.31	$325.02	$601.11