Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.81 / $110.00 / $121.00	Facility	26	$65.81	$110.00	$121.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.45 / $475.00 / $732.52	Professional		$296.45	$475.00	$732.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.01 / $110.00 / $140.00	Professional	26	$81.01	$110.00	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $215.45 / $335.00 / $440.00	Professional	TC	$215.45	$335.00	$440.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.52 / $198.38 / $215.96	Professional		$146.52	$198.38	$215.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $59.54 / $60.73 / $117.89	Professional	26	$59.54	$60.73	$117.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.37 / $385.14 / $644.12	Professional		$308.37	$385.14	$644.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.70 / $103.45 / $123.98	Professional	26	$74.70	$103.45	$123.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $233.66 / $279.32 / $520.16	Professional	TC	$233.66	$279.32	$520.16
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $58.05 / $58.05 / $61.40	Professional	26	$58.05	$58.05	$61.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.87 / $275.10 / $588.11	Professional		$138.87	$275.10	$588.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.68 / $75.23 / $129.79	Professional	26	$41.68	$75.23	$129.79
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $338.09 / $338.09 / $338.09	Professional	50	$338.09	$338.09	$338.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.19 / $196.58 / $503.81	Professional	TC	$97.19	$196.58	$503.81
United Facility/Professional Professional Modifier Low / Median / High Price $227.64 / $326.41 / $668.16	Professional		$227.64	$326.41	$668.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.14 / $71.97 / $110.29	Professional	26	$54.14	$71.97	$110.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $167.67 / $231.26 / $470.80	Professional	TC	$167.67	$231.26	$470.80