Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.72 / $60.00 / $96.50	Facility	26	$59.72	$60.00	$96.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.91 / $300.00 / $400.69	Professional		$211.91	$300.00	$400.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $60.00 / $119.64	Professional	26	$51.30	$60.00	$119.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $152.07 / $240.00 / $337.38	Professional	TC	$152.07	$240.00	$337.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $62.49 / $62.49	Professional	26	$52.48	$62.49	$62.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.63 / $325.25 / $528.84	Professional		$268.63	$325.25	$528.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.19 / $93.07 / $111.69	Professional	26	$67.19	$93.07	$111.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $201.44 / $232.18 / $417.15	Professional	TC	$201.44	$232.18	$417.15
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $51.96 / $55.13 / $184.94	Professional	26	$51.96	$55.13	$184.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.94 / $243.01 / $494.77	Professional		$121.94	$243.01	$494.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.31 / $63.97 / $116.25	Professional	26	$37.31	$63.97	$116.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.63 / $164.84 / $359.32	Professional	TC	$84.63	$164.84	$359.32
United Facility/Professional Professional Modifier Low / Median / High Price $200.82 / $271.58 / $502.56	Professional		$200.82	$271.58	$502.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.92 / $66.41 / $109.84	Professional	26	$47.92	$66.41	$109.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.97 / $197.00 / $365.48	Professional	TC	$144.97	$197.00	$365.48