Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.00 / $64.00 / $150.22	Facility	26	$60.00	$64.00	$150.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.70 / $320.00 / $523.01	Professional		$275.70	$320.00	$523.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.00 / $82.39 / $175.18	Professional	26	$60.00	$82.39	$175.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $183.78 / $240.00 / $350.77	Professional	TC	$183.78	$240.00	$350.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $97.93 / $146.90 / $203.17	Professional	26	$97.93	$146.90	$203.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.51 / $432.85 / $667.94	Professional		$354.51	$432.85	$667.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.41 / $144.60 / $173.67	Professional	26	$104.41	$144.60	$173.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $250.10 / $288.25 / $494.24	Professional	TC	$250.10	$288.25	$494.24
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $81.34 / $81.34 / $85.81	Professional	26	$81.34	$81.34	$85.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.53 / $363.04 / $701.00	Professional		$201.53	$363.04	$701.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.41 / $100.13 / $178.87	Professional	26	$58.41	$100.13	$178.87
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $458.57 / $458.57 / $458.57	Professional	50	$458.57	$458.57	$458.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.12 / $261.24 / $545.39	Professional	TC	$143.12	$261.24	$545.39
United Facility/Professional Professional Modifier Low / Median / High Price $261.70 / $406.48 / $719.61	Professional		$261.70	$406.48	$719.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.70 / $101.47 / $162.13	Professional	26	$74.70	$101.47	$162.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $197.69 / $291.39 / $554.78	Professional	TC	$197.69	$291.39	$554.78