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 / $171.98	Facility	26	$104.71	$110.00	$171.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.08 / $550.00 / $822.50	Professional		$402.08	$550.00	$822.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $124.40 / $209.78	Professional	26	$104.71	$124.40	$209.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $282.87 / $440.00 / $600.04	Professional	TC	$282.87	$440.00	$600.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $252.99 / $342.18 / $342.18	Professional		$252.99	$342.18	$342.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $95.58 / $97.62 / $232.83	Professional	26	$95.58	$97.62	$232.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $536.50 / $646.21 / $865.41	Professional		$536.50	$646.21	$865.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $119.72 / $165.75 / $196.75	Professional	26	$119.72	$165.75	$196.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $416.78 / $480.46 / $668.66	Professional	TC	$416.78	$480.46	$668.66
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $93.22 / $98.34 / $247.99	Professional	26	$93.22	$98.34	$247.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.53 / $480.01 / $977.03	Professional		$239.53	$480.01	$977.03
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 $172.62 / $340.20 / $759.01	Professional	TC	$172.62	$340.20	$759.01
United Facility/Professional Professional Modifier Low / Median / High Price $343.10 / $524.99 / $1,122.14	Professional		$343.10	$524.99	$1,122.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.05 / $114.49 / $175.54	Professional	26	$86.05	$114.49	$175.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.05 / $394.77 / $792.70	Professional	TC	$257.05	$394.77	$792.70