Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $64.57 / $95.50	Facility	26	$60.26	$64.57	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $426.58	Professional		$169.82	$257.04	$426.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $61.66 / $141.25	Professional	26	$51.29	$61.66	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $190.55 / $354.81	Professional	TC	$123.03	$190.55	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $44.67 / $81.28	Professional	26	$42.66	$44.67	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $457.09	Professional		$245.47	$302.00	$457.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $79.43 / $102.33	Professional	26	$63.10	$79.43	$102.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $213.80 / $363.08	Professional	TC	$181.97	$213.80	$363.08
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $54.95 / $186.21	Professional	26	$53.70	$54.95	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $489.78	Professional		$144.54	$263.03	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $63.10 / $117.49	Professional	26	$40.74	$63.10	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $194.98 / $371.54	Professional	TC	$97.72	$194.98	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $489.78	Professional		$199.53	$269.15	$489.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $61.66 / $97.72	Professional	26	$46.77	$61.66	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $194.98 / $354.81	Professional	TC	$144.54	$194.98	$354.81